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### Foreword — nature, channels, and human consequences
- Report title: “A Development Emergency.”
- Crisis described as the most severe in over 70 years; "the financial crisis that grew into an economic crisis is now becoming an unemployment crisis, and 'risks becoming a human and social crisis—with political implications.'"
- No region is immune; poor countries "have much less cushion to withstand events."
- Transmission channels to developing countries: reductions in export volumes, commodity prices, remittances, tourism, foreign direct investment, and possibly even foreign aid.
- Private capital flows to the developing world are seeing their sharpest decline in many decades; net flows likely turning negative in 2009—a "more than $700 billion drop from the peak in 2007."
- Global estimates of human impacts:
  - "More than 50 million additional people living in extreme poverty in 2009 than expected before the crisis."
  - "About 200,000 to 400,000 more babies may die each year" (impact of slowed growth).
- MDG prospect: "already a cause for serious concern, now looks even more distant."

### Crisis impacts on developing-country growth, trade, and capital flows
- Growth projections and regional impacts:
  - "For developing countries as a whole, growth is now projected to fall to 1.6 percent in 2009, from an average of 8.1 percent in 2006–07."
  - "Growth in Sub-Saharan Africa is projected to slow to 1.7 percent in 2009, from 6.7 percent in 2006–07."
  - "Countries in Eastern Europe and Central Asia with weaker macroeconomic fundamentals ... average growth in the region in 2009 now projected to be negative."
  - "Average projected GDP growth in developing countries in 2009 is now only about a quarter of what was expected before the financial turmoil intensified and a fifth of that achieved up to 2007."
- Global and regional GDP (selected World Economic Outlook April 2009 baseline):
  - World output: 2008 = 3.2; 2009 = –1.3; 2010 = 1.9
  - Advanced Economies: 2008 = 0.9; 2009 = –3.8; 2010 = 0.0
  - United States: 2008 = 1.1; 2009 = –2.8; 2010 = 0.0
  - Emerging markets and developing countries: 2008 = 6.1; 2009 = 1.6; 2010 = 4.0
  - China: 2008 = 9.0; 2009 = 6.5; 2010 = 7.5
  - India: 2008 = 7.3; 2009 = 4.5; 2010 = 5.6
- Private capital flows and financing gaps:
  - "Private capital flows to the developing world ... net flows likely turning negative in 2009."
  - Memorandum items: Private capital flows, net (2008) = 307 (US$ billions); (2009) = –82 (US$ billions).
  - Estimates of developing countries’ financing gap in 2009 "reach as high as $1 trillion."
- Trade collapse and commodity prices:
  - World trade projected to register its largest decline in the post-war period; world trade volume projected to decline by 6.1 percent in 2009 (World Bank Global Economic Prospects, April 2009).
  - IMF commodity price index declined by 27 percent between November 2007 and November 2008; estimated to have contributed to an 11 percent drop in trade.

### Human consequences, poverty, and MDGs
- Poverty and MDG impacts:
  - Food-price shock (2005–2008) pushed "around 200 million more people into extreme poverty; about half of them will remain trapped in poverty in 2009 even as food prices recede from their peaks."
  - Estimates of poverty impact of the growth slowdown range "from 55 million to 90 million more extreme poor in 2009 than expected before the crisis."
  - On current growth projections, "more than one-half of all developing countries could experience a rise in the number of extreme poor in 2009;" proportions higher among low-income countries ("two-thirds") and Sub-Saharan Africa ("three-quarters").
- Child and maternal health impacts:
  - "About 200,000 to 400,000 more infant deaths per year on average between 2009 and the MDG target year of 2015"—equivalent to "1.4 million to 2.8 million additional infant deaths during the period" (2009–2015).
  - Current human development shortfalls cited (MDG halfway point):
    - "Around 75 million children of primary school age were not in school."
    - "190,000 children under five died every week from preventable disease."
    - "10,000 women died every week from treatable complications of pregnancy."
    - "More than 2 million people died from AIDS annually, close to 2 million from tuberculosis, and about 1 million from malaria."
    - "Around 1 billion people suffered from hunger and twice as many were undernourished."
    - "About half of the developing world lacked access to basic sanitation."
- Labor market effects:
  - ILO projects "some 30 million more people around the world may be unemployed in 2009, of whom 23 million could be in developing countries."
  - Worse-case scenario: "as many as 50 million more people becoming unemployed in 2009."
  - Labor-market impact estimated to be associated with "93 million additional people classified as extreme poor" (aggregate estimate referenced).

### Policy priorities and recommended actions (global and national)
- Overarching principle: "A global crisis requires a global solution."
- Three key global priorities (supporting developing countries):
  - Donors must deliver on their commitments to increase aid; "increased needs call for going beyond existing commitments."
  - National governments must "hold firm against rising protectionist pressures and maintain an open international trade and finance system"; completing the Doha negotiations "expeditiously would provide a much-needed boost in confidence."
  - Multilateral institutions must have "the mandate, resources, and instruments to support an effective global response," playing a key role in bridging financing gaps and reviving private flows.
- Six priority areas for action (developing countries):
  - Ensure an adequate fiscal response to protect the poor and vulnerable and to support economic growth—priority areas: strengthen social safety nets and protect infrastructure programs that create jobs and build productivity; tailor fiscal responses consistent with macroeconomic stability.
  - Provide support for the private sector and improve climate for private investment—pay special attention to strengthening financial systems and SME access to finance for trade and investment.
  - Redouble efforts in human development and recover lost ground in progress toward the MDGs—strengthen key public programs for health and education and leverage private sector roles.
  - Scale up aid to poor and vulnerable countries hit hard by the crisis.
  - Maintain an open trade and finance system—including quick action on the Doha Round.
  - Ensure multilateral system has mandate, resources, and instruments for effective global response.
- Country-level policy differentiation:
  - Countries with sound fundamentals: scope for monetary easing and discretionary fiscal policies where inflation is falling, fiscal balances are sustainable, reserves are strong, and external vulnerabilities are limited.
  - Countries with weak fundamentals and limited access to financing: may need fiscal consolidation, tighter monetary policy, exchange rate depreciation, and expenditure prioritization to protect core spending and social safety nets.

### Vulnerability Fund, aid scaling, and private giving
- Vulnerability Fund proposal:
  - "0.7 percent of their stimulus packages, or about $15 billion based on the packages announced to date, in a Vulnerability Fund to help developing countries."
  - Purpose: support three crisis-response priorities in developing countries that lack resources: strengthening social safety nets; funding essential infrastructure investment; supporting financing for SMEs and microfinance institutions.
- ODA trends and gaps:
  - ODA from DAC members rose by about 10 percent in real terms in 2008; net ODA from DAC donors in 2008 was about $29 billion short of the Gleneagles target of $130 billion per annum by 2010.
  - ODA to Sub-Saharan Africa was about $20 billion short of the 2010 target of $50 billion per annum.
  - Net ODA disbursements from DAC rose during 2003–05 but fell in 2006 and 2007 (0.33 percent of donors’ GNI in 2005 to 0.28 percent in 2007); ODA-to-GNI ratio increased to 0.30 percent in 2008.
- Private international giving:
  - OECD estimate: $18.6 billion in 2007 (noted as widely considered an underestimate).
  - Alternative estimate: private international giving from the United States alone at $34.8 billion in 2006 (Hudson Institute estimate referenced elsewhere).
  - Gates Foundation commitments cited: "has committed over $11.6 billion since 1994 for global health programs;" international grants: $2 billion in 2006 and $2.4 billion in 2007.
- Risks to aid:
  - Exchange-rate effects could depress aid value; aggregated exchange rate movements could "depress the value of aid by nearly $8 billion" with a rough estimate of aid wiped out by currency movements in 2009 at "$3 billion to $5 billion."
  - Historical precedent: deeper, longer donor recessions can produce large contractions in aid (examples: Finland, Norway, Sweden in the 1990s).

### IFI and MDB responses, instruments, and resource needs
- IMF actions and resources:
  - G-20 agreed to support a tripling of resources available to the IMF to $750 billion; supported a general SDR allocation of $250 billion ($100 billion to emerging market and developing countries; $19 billion to low-income countries).
  - IMF established a new Flexible Credit Line (FCL); enhanced flexibility of SBAs; doubled access limits for emerging markets and low-income countries; reformed conditionality; plans to step up lending to low-income countries to around $3 billion a year over the next two years—"triple last year’s level."
  - IMF provided about "$49 billion since mid-2008" to nine emerging countries (selected figure).
- MDB commitments and needs:
  - MDBs supported an increase in MDB lending of "$100 billion to a total of around $300 billion over the next three years"; support for a "200 percent general capital increase at the Asian Development Bank (ADB)" and reviews for other MDB capital needs.
  - World Bank Group crisis facilities and components:
    - Vulnerability Financing Facility (VFF) umbrella including the Global Food Crisis Response Program and Rapid Social Response Fund.
    - Infrastructure Recovery and Assets Platform (INFRA).
    - IFC Private Sector Platform (Bank Recap, Trade Finance, Infrastructure Facility, Microfinance Facility, Advisory Facility).
  - World Bank Crisis Response Program committed "$856 million for 29 countries, including $325 million for African countries."
  - IDA provided "$4.1 billion in new commitments of concessional financing in the second half of 2008."
  - IDA Fast-Track Facility aims to fast-track "up to $2 billion" of financial assistance.
- MDB lending volumes and leverage:
  - MDB gross disbursements in 2008: $55.1 billion (up from $48.7 billion in 2007).
  - Of $55.1 billion, $42.5 billion was nonconcessional resources; gross concessional flows rose by only 3.5 percent to about $12.5 billion.
  - Total MDB lending expected to rise to an annual average of "as much as $100 billion" in the next three years (projection cited).
- Trade finance interventions:
  - G-20 agreement: ensure availability of at least "$250 billion of trade finance over the next two years" through export credit/investment agencies and through MDBs.
  - IFC action: up to "$50 billion of trade liquidity support over the next three years" through the new Global Trade Liquidity Pool.
  - IFC Global Trade Finance Program doubled from "$1.5 billion to $3.0 billion"; guarantees with average duration of six months support up to "$18 billion of trade finance over the next three years."
  - IFC program performance since inception (September 2005): "$3.2 billion in trade guarantees have been issued"; "2,600 transactions supported"; "48 percent were for banks in Africa"; "70 percent involved small and medium enterprises"; "50 percent supported trade with the world’s poorest countries"; "35 percent facilitated trade between emerging markets."

### Trade policies, trade facilitation, and protectionism risks
- Trade policy and Doha:
  - Completing the Doha Round is urged as a priority to maintain open markets and boost confidence; a December 2008 draft package outlined substantial tariff and subsidy cuts (figures and modalities summarized in chapter).
- Trade finance and tightening:
  - Structured medium- and long-term trade finance instruments contracted by "about 40 percent in the last quarter of 2008 compared with 2007" (Dealogic).
  - Trade finance pricing rose sharply: trade finance deals offered at "300 – 400 basis points over interbank refinance rates" by end-2008—two to three times a year earlier.
  - Cost of LCs "reported to have doubled or tripled" for buyers in several emerging countries.
- Protectionism indicators:
  - Antidumping initiations increased by "31 percent" in 2008; application of new antidumping measures rose by "19 percent"; developing countries accounted for "73 percent" of all new investigations in 2008.
  - G-20 commitments: refrain from raising new barriers to investment or trade, imposing new export restrictions, or implementing WTO-inconsistent measures; reaffirmed and extended to end-2010.

### Infrastructure, private sector, and investment climate
- Infrastructure needs and gaps:
  - Developing countries require "around $900 billion each year (7–9 percent of their GDP) both to maintain existing infrastructure and to undertake new projects," yet "only half of the required amount is actually spent."
  - Sub- Saharan Africa infrastructure financing gap: about "$40 billion annually"; improved management and cost recovery could reduce this gap "by as much as 45 percent."
  - Africa catch-up examples: raising services to Mauritius levels could add "2.2 percentage points to per capita growth"; catching up to Republic of Korea would raise per capita growth by "up to 2.6 percent percentage points per year."
- Private participation and results:
  - Private investment peaked ~$140 billion in 1997; in 2000–05 governments/state-owned enterprises provided 70 percent of infrastructure finance, private sector 22 percent, ODA 8 percent.
  - For projects reaching financial closure 1998–2006, institutional investors mobilized about "44 percent of private funds."
  - Evidence of efficiency gains from private operators (global study):
    - "12 percent increase in residential connections for water utilities;"
    - "19 percent increase in residential coverage for sanitation services;"
    - "45 percent increase in electricity bill collection rates;"
    - "11 percent reduction in distribution losses."
- Investment climate constraints for firms (Enterprise Surveys):
  - Three top constraints worldwide: regulatory environment, access to finance, and infrastructure.
  - In low-income countries, access to electricity and finance are top issues; lack of access to finance especially constrains SMEs.

### Private sector roles in health and education — patterns, evidence, and risks
- Health financing and provision:
  - "One-half of health spending in many developing countries comes from private sources."
  - DHS-based findings: private formal and informal providers supply more than "50 percent" of MDG-related maternal, reproductive, and child health services in many surveys.
  - Quality evidence mixed: nongovernment providers "less likely to follow standard diagnostic and treatment protocols" in many settings; patient-perceived quality often favors private providers.
  - Innovations and contracting examples:
    - Chiranjeevi Yojana, Gujarat, India: raised institutional deliveries "from 38 percent to 59 percent" with private obstetrician contracting; provider participation increased "from 7 (public sector) to more than 800 (private sector)" in less than two years; additional cost to state ~"3.5 percent of the total health budget."
    - Social franchising example: HealthStore Foundation in Kenya (17 drug outlets, 48 basic medical clinics).
    - BRAC (Bangladesh): "largest nonprofit ... employing 125,000 staff"; reach and program scale figures detailed.
- Education financing and provision:
  - Private schools enroll "more than two-thirds of all students" in some countries; private spending can exceed "40 percent" of total education expenditure in selected countries.
  - Selected country private enrollment shares and changes reported (Table 3.3 excerpts include numerous country-level percentages for 1990 and 2006).
  - Evidence on vouchers and contracting: rigorous studies show vouchers can improve secondary access, test scores, completion and later outcomes in some settings; contracting programs (e.g., Bogota concession schools) show significant increases in math and reading and reductions in dropout rates.
- Policy implications:
  - Governments must strengthen capacities to design, manage, regulate, monitor, and evaluate mixed financing and delivery models to ensure safety, quality, equity, and financial protection.
  - "The aim should be better, not necessarily fewer, regulations."

### Poverty projections, new PPP-based poverty estimates, and MDG outlook
- New global poverty estimates (ICP-based, $1.25/day, 2005 prices):
  - About "1,375 million people in developing countries (25 percent of the population) were living in extreme poverty in 2005," versus previous estimate of 935 million (17 percent).
  - New target poverty rate to achieve the poverty MDG: "20.9 percent" (half of 41.7 percent in 1990), replacing prior target of 14.4 percent.
- Short-term poverty outlook (selected table entries, people below $1.25/day, 2005 PPP):
  - Total: 2008: 1,202.8; 2009: 1,183.6; Change in number: –56.9
  - Low-income countries: 2008: 952.3; 2009: 947.8; Change in number: –26.9
  - Middle-income countries: 2008: 262.1; 2009: 247.2; Change in number: –33.1
- Longer-term projections (selected table 1.6 entries):
  - Total: 1990: 1,816.6; 2005: 1,373.5; 2015: 925.2; % of population 1990: 41.7; 2005: 25.2; 2015: 15.1; Over/under MDG: 5.7
  - Sub-Saharan Africa: 1990: 295.7; 2005: 388.4; 2015: 352.6; % of population 1990: 65.7; 2005: 50.9; 2015: 36.6; Over/under MDG: –7.8
- Projection caveats: "Projections are subject to considerable uncertainty and downside risks stemming from the crisis."

### Summary policy message and coordination
- Immediate priorities: stabilize advanced-country financial systems; restore confidence; counter falling demand; mitigate crisis impact on developing countries’ growth and protect programs critical for the poor and vulnerable.
- International coordination and leadership:
  - World leaders’ commitments at G-20 must be followed by "strong, concerted actions."
  - "The need for international cooperation has never been greater." — Robert B. Zoellick and Dominique Strauss-Kahn (Foreword signatories).
- Operational recommendations (selected):
  - Scale up aid rapidly and predictably; honor existing pledges and consider going beyond Gleneagles commitments.
  - Resist protectionism and financial mercantilism; maintain open trade and finance.
  - Empower IFIs with mandate, resources, instruments, and governance reforms to match 21st-century global challenges.
  - Protect social safety nets, maintain infrastructure spending, support SMEs and trade finance, and strengthen financial supervision and contingency planning.

*Source: GLOBAL MONITORING REPORT 2009 (excerpts from Foreword and Chapters 1–6).*

### Foreword .......................................................xi

### Foreword

### The nature of the crisis
- The report title: “A Development Emergency.”
- The financial crisis that grew into an economic crisis is now becoming an unemployment crisis, and "risks becoming a human and social crisis—with political implications."
- The crisis is the most severe in over 70 years.
- No region is immune; poor countries are especially vulnerable because they "have much less cushion to withstand events."

### Channels and magnitudes of impact on developing countries
- Countries will be affected through reductions in export volumes, commodity prices, remittances, tourism, foreign direct investment, and possibly even foreign aid.
- Private capital flows to the developing world are seeing their sharpest decline in many decades.
- Middle-income countries were the first among developing countries to feel the impact, given their heavier reliance on private capital flows.
- Both middle- and low-income countries will be hit hard in 2009 by a second wave of effects reflecting the global recession and declining world trade.
- Economic growth in developing countries has declined sharply "to the lowest rates for some decades"; per capita incomes will fall in many countries.
- Sub-Saharan Africa will see a rise in the poverty count in 2009, with the more fragile and low-growth economies especially at risk.
- Globally, the report estimates "more than 50 million additional people living in extreme poverty in 2009 than expected before the crisis," compounding the impact from soaring food and fuel prices of recent years.

### Human consequences
- Because of sharply lower economic growth rates, the report estimates "about 200,000 to 400,000 more babies may die each year."
- School enrollments will suffer—especially for girls.
- The prospect of reaching the MDGs by 2015, "already a cause for serious concern, now looks even more distant."

### Policy implication: need for a global response
- "A global crisis requires a global solution."
- The crisis began in the financial markets of developed countries, so "the first order of business must be to stabilize these markets."
- Developing countries can provide a growth platform to help the global economy pull out of the crisis; protecting growth in developing countries matters for global recovery.

*Source: Foreword, GLOBAL MONITORING REPORT 2009*

### FOREwORd

### FOREwORd

### Executive messages
- The global financial crisis, the most severe since the Great Depression, is rapidly turning into a human and development crisis.
- The crisis originated in the developed world but has spread quickly to the developing world, threatening gains toward the Millennium Development Goals (MDGs) and putting millions at risk.
- Timely, adequate, and coordinated actions by developed countries are needed to restore confidence in the financial system and counter falling demand.
- Strong and urgent actions are required to counter the impact on developing countries by helping them boost growth while protecting the poor.

### Six priority areas for action (developing countries)
- Ensure an adequate fiscal response to protect the poor and vulnerable groups and to support economic growth.
  - Priority areas: strengthening social safety nets and protecting infrastructure programs that create jobs and build productivity.
  - Fiscal responses must be tailored to individual country circumstances and consistent with maintenance of macroeconomic stability.
- Provide support for the private sector and improve the climate for recovery and growth in private investment.
  - Pay special attention to strengthening financial systems.
  - Help small and medium enterprises get access to finance for trade and investment to support job creation.
  - Broader reforms needed to improve stability and soundness of the financial system.
- Redouble efforts in human development and recover lost ground in progress toward the MDGs.
  - Strengthen key public programs for health and education.
  - Better leverage the private sector’s role in financing and delivery of services.

### Three key global priorities (in support of developing countries)
- Donors must deliver on their commitments to increase aid; increased needs call for going beyond existing commitments.
- National governments must hold firm against rising protectionist pressures and maintain an open international trade and finance system.
  - Completing the Doha negotiations expeditiously would provide a much-needed boost in confidence.
- Multilateral institutions must have the mandate, resources, and instruments to support an effective global response.
  - International financial institutions will need to play a key role in bridging the large financing gap for developing countries resulting from the slump in private capital flows, including using their leverage ability to help revive private flows.

### Global coordination and leadership
- World leaders made important progress at the Group of Twenty summit; this must be followed by strong, concerted actions.
- “The need for international cooperation has never been greater.” — Robert B. Zoellick and Dominique Strauss-Kahn

*Signed: Robert B. Zoellick, President, The World Bank Group; Dominique Strauss-Kahn, Managing Director, International Monetary Fund.*

### Contributors and acknowledgments (high-level)
- Report jointly prepared by staff of the World Bank and the International Monetary Fund in collaboration with partner institutions including the African Development Bank, the Asian Development Bank, the European Bank for Reconstruction and Development, the Inter-American Development Bank, the Organisation for Economic Co-operation and Development, the World Trade Organization, the United Nations Conference on Trade and Development, and other UN agencies.
- Lead author and manager: Zia Qureshi.
- Core team included World Bank members Felipe Barrera, Peter Berman, Jean-Pierre Chauffour, Punam Chuhan-Pole, Stefano Curto, Mary Hallward-Driemeier, Homi Kharas; IMF members Stijn Claessens, Richard Harmsen, Laura Kodres, Andrea Maechler, Axel Palmason.
- Many additional contributors and staff from both institutions and partner organizations are acknowledged.

### Abbreviations (selected)
- FDI Foreign direct investment
- FSAP Financial Sector Assessment Program
- G-8 Group of Eight
- G-20 Group of Twenty
- GAVI Global Alliance for Vaccines and Immunizations
- GDP Gross domestic product
- GEF Global Environmental Facility
- GFATM Global Fund to Fight AIDS, Tuberculosis, and Malaria
- GHG Greenhouse gases
- GNI Gross national income
- HIPC Heavily indebted poor country/countries
- HIV Human immunodeficiency virus
- IBRD International Bank for Reconstruction and Development
- ICP International Comparison Program
- IDA International Development Association (of the World Bank)
- IDB Inter-American Development Bank
- IEA International Energy Agency
- IFC International Finance Corporation
- IFI International financial institutions
- ACP African, Caribbean, and Pacific countries
- ADB Asian Development Bank
- AfDB African Development Bank
- AIDS Acquired immune deficiency syndrome
- AMC Advanced Market Commitment
- CCT Conditional cash transfer
- CDM Clean Development Mechanism
- CERs Certified emissions reductions
- CPA Country programmable aid
- CPIA Country Policy and Institutional Assessment
- CRS Creditor Reporting System (of the OECD DAC)
- CSR Corporate social responsibility
- DAC Development Assistance Committee
- DRF Debt Reduction Facility (of the World Bank)
- EBRD European Bank for Reconstruction and Development
- EC European Commission
- EITI Extractive Industries Transparency Initiative
- FAO Food and Agriculture Organization (of the UN)
- IFFIm International Finance Facility for Immunizations
- IHP International Health Partnership
- ILO International Labour Organization
- IMF International Monetary Fund
- ITC International Trade Centre
- LDCs Least-developed countries
- MDBs Multilateral development banks
- MDG Millennium Development Goal
- MDRI Multilateral Debt Relief Initiative
- MFIs Microfinance institutions
- MSE Micro- and small enterprise
- NAMA Nonagricultural market access
- NEPAD New Partnership or African Development
- NGOs Nongovernmental organizations
- NTM Nontariff measure
- ODA Official development assistance
- OECD Organisation for Economic Co-operation and Development
- OTRI Overall Trade Restrictiveness Index
- PFM Public financial management
- PPIAF Public-Private Infrastructure Advisory Facility
- PPP Purchasing power parity
- PTA Preferential trade agreement
- SIAP Sustainable Infrastructure Action Plan
- SME Small and medium enterprises
- SWF Sovereign wealth fund
- TTRI Tariff Trade Restrictiveness Index
- UN United Nations
- UNDP UN Development Programme
- UNFCCC UN Framework Convention on Climate Change
- WFP World Food Programme
- WHO World Health Organization
- WTO World Trade Organization

### Overview: Crisis and impacts on developing countries
- The crisis comes on the heels of food and fuel crises, creating a "triple jeopardy" for poor countries.
- With the seizing-up of international financial markets in 2008, emerging market countries were the first among developing countries to feel the impact due to reliance on private capital flows.
- Private capital flows to the developing world are seeing their sharpest slump ever, with net flows likely turning negative in 2009—a more than $700 billion drop from the peak in 2007.
- Many low-income countries are affected by the private credit crunch; private flows to these countries, including several in Africa, that had increased in recent years are now falling.
- These countries are expected to be hit particularly hard in 2009 by a second round of impacts reflecting the global recession and declining world trade:
  - World gross domestic product (GDP) is projected to decline in 2009 for the first time since World War II.
  - World trade is projected to register its largest decline in the post-war period.
- Low-income countries will be affected through reductions in export volumes, commodity prices, remittances, tourism, foreign direct investment, and possibly even foreign aid.
- Shocks will hurt public revenues and add to the negative fiscal impact of the food and fuel crises, putting pressure on public expenditure programs.
- Financial systems in low-income countries may be hit by second-round effects as the economic downturn increases problem loans, limiting domestic financing availability.

### Growth projections and regional impacts
- Average projected GDP growth in developing countries in 2009 is now only about a quarter of what was expected before the financial turmoil intensified and a fifth of that achieved up to 2007.
- For developing countries as a whole, growth is now projected to fall to 1.6 percent in 2009, from an average of 8.1 percent in 2006–07.
- Growth in Sub-Saharan Africa is projected to slow to 1.7 percent in 2009, from 6.7 percent in 2006–07.
- Countries in Eastern Europe and Central Asia with weaker macroeconomic fundamentals are most severely hit, with average growth in the region in 2009 now projected to be negative.
- Average growth in Latin America and the Caribbean also is projected to be negative in 2009.
- Current growth projections, adjusted for terms-of-trade changes, imply declining real per capita incomes for more than 50 developing countries in 2009.

### Impact on poverty reduction and MDGs
- Food price increases between 2005 and 2008 pushed around 200 million more people into extreme poverty; about half of them will remain trapped in poverty in 2009 even as food prices recede from their peaks.
- While food prices have fallen since mid-2008, they remain high by historical standards.
- The slowdown in growth resulting from the financial crisis will add to the poverty impact of high food prices.
- The International Labour Organization projects that some 30 million more people around the world may be unemployed in 2009, of whom 23 million could be in developing countries.
  - A worse-case scenario envisages as many as 50 million more people becoming unemployed in 2009.
- Estimates of the poverty impact of the growth slowdown range from 55 million to 90 million more extreme poor in 2009 than expected before the crisis.
  - These numbers will rise if the crisis deepens and growth in developing countries falters further.
- In Sub-Saharan Africa and South Asia, the growth slowdown essentially eliminates the pre-crisis prospect of continued reductions in the poverty count in 2009.
  - The poverty count is likely to rise in Sub-Saharan Africa in 2009.
- Overall, on current growth projections, more than one-half of all developing countries could experience a rise in the number of extreme poor in 2009; this proportion is likely to be still higher among low-income countries and countries in Sub-Saharan Africa—two-thirds and three-quarters, respectively.
- Experience suggests growth collapses are costly for human development outcomes:
  - Countries that suffered economic contractions of 10 percent or more between 1980 and 2004 experienced more than 1 million additional infant deaths.
  - It is estimated that the sharply slower economic growth resulting from the current financial crisis may cause as many as 200,000 to 400,000 more infant deaths per year on average between 2009 and the MDG target year of 2015.

*Source: GLOBAL MONITORING REPORT 2009 — FOREwORd (World Bank and IMF joint report).*

### 1.4 million to 2.8 million additional infant

### _gmr - 1.4 million to 2.8 million additional infant

### Human costs and nutrition impacts
- 1.4 million to 2.8 million additional infant deaths during the period.
- The food crisis has already caused the number of people suffering permanent damage from malnutrition to rise by 44 million.
- The financial crisis will exacerbate malnutrition as poor households respond to decreases in income by further cutting the quantity and quality of food consumption.
- Long-run consequences can be irreversible: reduced (or inferior) food consumption can retard growth as well as cognitive and learning abilities.

### Current human development shortfalls (MDG halfway point)
- Around 75 million children of primary school age were not in school.
- 190,000 children under five died every week from preventable disease.
- 10,000 women died every week from treatable complications of pregnancy.
- More than 2 million people died from AIDS annually, close to 2 million from tuberculosis, and about 1 million from malaria.
- Around 1 billion people suffered from hunger and twice as many were undernourished.
- About half of the developing world lacked access to basic sanitation.
- Education outcomes, such as school enrollment, tend to deteriorate during economic crises—especially for girls.

### MDG outlook and regional disparities
- Strong economic growth in developing countries in the past decade had put the MDG for poverty reduction within reach at the global level, but the triple punch of the food, fuel, and financial crises creates new risks.
- Sub- Saharan Africa lags on all MDGs, including the goal for poverty reduction.
- South Asia lags on most human development MDGs; it will likely meet the poverty reduction goal, although barely.
- Middle- income countries have made the most progress toward the MDGs but continue to have large concentrations of poverty and challenges on non-income human development goals.
- Progress has been weaker overall in low- income countries and slowest in countries in fragile situations.

### Priorities for action (Box 1)
- Ensure an adequate fiscal response to support economic growth and protect poor and vulnerable groups from the impact of the crisis—consistent with maintenance of macroeconomic stability
- Shore up the private sector and improve the climate for recovery and growth in private investment, including paying special attention to strengthening financial systems
- Redouble efforts toward the human development goals, including leveraging the private sector role
- Scale up aid to poor and vulnerable countries hit hard by the crisis
- Maintain an open trade and finance system—including quick action on the Doha Round
- Ensure that the multilateral system has the mandate, resources, and instruments to support an effective global response to the global crisis

### Ensuring an adequate fiscal response
- Many developing countries lack resources to mount fiscal responses; public revenues will fall and external financing will dry up.
- Additional financing, on appropriate terms, would help support growth and protect the poor and vulnerable.
- At least one- half of developing countries today have the macroeconomic conditions (taking into account fiscal and external sustainability considerations) and institutional capacities to underpin some fiscal expansion if financing on appropriate terms were available.
- Countries must use available scope for domestic resource mobilization and focus expenditures on core priorities: infrastructure for growth, key investments in human capital, and social safety nets.
- Social safety nets recommendations: conditional cash transfers to poor households, workfare schemes, and maternal- child or school feeding programs.

### Supporting the private sector and infrastructure
- Fiscal stimulus will catalyze sustainable economic growth only if there is a vigorous private sector response supported by an enabling environment: access to finance, infrastructure, and quality of business regulation.
- In the current credit crunch, urgent action is needed to shore up private sector access to finance for investment and trade, with special focus on small and medium enterprises.
- Strengthening financial regulation and supervision is essential; some countries will likely need to recapitalize distressed financial institutions.
- Infrastructure financing: Sub- Saharan Africa could reduce its infrastructure financing gap of about $40 billion annually by as much as 45 percent through improved management of investments, reduction of operating inefficiencies, and better cost recovery.
- Multilateral financial institutions need to play a stronger supporting role, including shoring up viable ongoing public- private partnership projects facing financial distress.
- Investments in energy- efficient infrastructure can contribute to economic recovery, growth, and mitigation of climate change; carbon markets can help mobilize private financing for environmentally sustainable investments.
- Measured by the World Bank Group’s Doing Business and Enterprise Surveys, developing countries have implemented significant regulatory reforms, but progress is uneven; the aim should be better, not necessarily fewer, regulations.

### Mobilizing the private sector for human development
- One- half of health spending in many developing countries comes from private sources.
- Recent surveys in Sub- Saharan Africa and South Asia find that more than half of the MDG- related maternal, reproductive, and child health services used are privately provided.
- In South Asia, the share of private enrollment in primary and secondary education averages about 30 percent.
- The private sector can bring resources, innovation, flexibility, and quality improvements; governments should develop requisite frameworks to work effectively with private providers.

### Exposure and capacity of developing countries
- As many as 90 percent of developing countries are assessed to be highly or moderately exposed to the impact of the crisis.
- Three- quarters of the exposed countries lack the fiscal capacity to finance programs to curb the effects of the downturn.
- Those with good macroeconomic management and institutional capacities should be assisted with financing to enhance their fiscal space to respond to the crisis.

*Source: _gmr - 1.4 million to 2.8 million additional infant (PDF chapter/section).*

### 0.7 percent of their stimulus packages, or

### _gmr - 0.7 percent of their stimulus packages, or

### Vulnerability Fund and crisis-response priorities
- Proposal: 0.7 percent of their stimulus packages, or about  $15  billion based on the packages announced to date, in a Vulnerability Fund to help developing countries.
- Purpose: Support three crisis-response priorities in developing countries that lack the resources to act on their own:
  - strengthening social safety nets
  - funding investments in essential infrastructure
  - supporting financing for small and medium enterprises and microfinance institutions
- Delivery: Resources to be channeled through multilateral and bilateral agencies, in programs backed by safeguards to ensure they are well spent.

### Aid effectiveness and changing aid landscape
- Urgent need to expedite progress on the Accra Agenda for Action: better aid alignment and harmonization, improved aid predictability and timeliness, and a stronger focus on results.
- As the aid landscape changes with a growing role of non-DAC official donors and private sources of aid and an increasing array of aid modalities, aid coordination frameworks must encompass a broader range of development partners.
- Private international giving:
  - OECD estimate: $18.6 billion in 2007 (noted as widely considered an underestimate).
  - Alternative estimate: private international giving from the United States alone at $34.8 billion in 2006.
- Private sources include foundations, corporations, and civil society organizations; they have spawned innovative public-private partnerships in health, education, and climate change.
- Concern: the financial crisis may interrupt rising capacities for regulation and oversight, use of incentives, and improvements in governance and accountability arrangements.

### Examples and innovations in private financing
- Notable private contributions: sizable contributions from the Bill and Melinda Gates Foundation into the Global Alliance for Vaccines and Immunization and the Global Fund to Fight AIDS, Tuberculosis, and Malaria.
- Advanced Market Commitment mechanism: cited as an innovative way to leverage corporate finance in development of treatments for diseases in poor countries.
- Recommendation: Expanded potential of private international financing (from non-governmental organizations, foundations, and business corporations) and related innovations in financing modalities and delivery vehicles need to be effectively tapped.

### Scaling up official aid (ODA) and donor commitments
- ODA from DAC members rose by about 10 percent in real terms in 2008, following declines in ODA in both 2006 and 2007.
- In real terms, ODA from DAC donors in 2008 was about $29 billion short of the Gleneagles target of $130 billion per annum by 2010.
- ODA to Sub-Saharan Africa was about $20 billion short of the 2010 target of $50 billion per annum.
- Policy recommendation: Donors should scale up rapidly to deliver on these commitments despite crisis-induced fiscal pressures.
- Argument: Additional sums needed to meet Gleneagles commitments amount to a fraction of the support provided to rescue individual financial institutions and a miniscule proportion of the fiscal stimulus packages announced.
- Suggestion: The crisis calls for going beyond the commitments made at Gleneagles.

### Trade openness, trade facilitation, and aid for trade
- Priority: Maintain and improve developing countries’ access to international markets; strengthen support for trade facilitation (trade-related infrastructure, finance, regulations, logistics such as customs services and standards compliance).
- Finding: Research shows that in many low-income countries trade facilitation can be at least as important as further reduction in trade tariffs in boosting trade.
- Aid for trade:
  - Should be scaled up substantially.
  - While rising overall, aid for trade from bilateral sources declined in 2007.
  - More aid for trade needs to be directed to low-income and the least developed countries, which currently receive only about one-half and one-quarter of the total, respectively.

### Risks of protectionism and maintaining open financial flows
- Recent trends: food, fuel, and financial crises have increased protectionist pressures (trade taxes, quotas, export bans, border barriers, subsidized import-competing industries, “buy national” policies).
- Costs: Such measures retard market corrections, distort trade, risk retaliation, deepen the slump in global trade, and undercut prospects for economic recovery.
- G-20 commitments:
  - Reaffirmation to refrain from raising new barriers to investment or trade in goods and services, imposing new export restrictions, or implementing WTO-inconsistent measures; agreed to rectify promptly any such measures.
  - Emphasis on following through with firm resolve.
- Concern: Government interventions in advanced-country financial systems may be accompanied by pressures on financial institutions to curtail cross-border lending; a shift toward financial mercantilism must be resisted as it would particularly hurt financial flows to developing countries.
- Role of private aid: If effectively deployed, private aid can complement public aid and be a partner in development.

### Empowering multilateral institutions (IFIs and MDBs)
- G-20 financial support actions:
  - Agreed to support a tripling of resources available to the IMF to $750 billion.
  - Supported a general allocation of the Special Drawing Rights (SDRs) equivalent to $250 billion to increase global liquidity, $100 billion of which will go directly to emerging market and developing countries ($19 billion to low-income countries).
- IMF actions:
  - Established a new Flexible Credit Line for large and upfront financing to emerging market economies with strong fundamentals and policies.
  - Enhanced flexibility of regular stand-by arrangements.
  - Doubled access limits for emerging markets and low-income countries.
  - Reformed conditionality to make it more focused and tailored to country circumstances.
  - Plans to step up lending to low-income countries to around $3 billion a year over the next two years—triple last year’s level.
- MDB commitments and needs:
  - Supported an increase in MDB lending of $100 billion to a total of around $300 billion over the next three years; agreed to ensure that all MDBs have appropriate capital.
  - Supported a 200 percent general capital increase at the Asian Development Bank (ADB) and reviews for other MDB capital needs.
  - Supported, through voluntary bilateral contributions, the World Bank’s Vulnerability Framework, including the Infrastructure Crisis Facility and the Rapid Social Response Fund.
  - Concessional windows of the African Development Bank, the ADB, and the World Bank have received significant increases in resources through recent replenishments.
  - Immediate need: donors to honor existing pledges to the MDB concessional windows and to the MDRI.
- MDB operational flexibility: Considerations include increasing individual country limits on lending; raising limits on the proportion of quick-disbursing financing; front-loading commitments; accelerating disbursements on existing projects; and allowing low-income countries access to non-concessional windows while ensuring debt sustainability.
- Leverage and instruments: Increased demand for risk mitigation and public-private partnerships will call for more fully exploiting the leverage of MDBs’ private sector arms, such as the IFC, and guarantee instruments.
- IFIs’ non-financing role: Provide knowledge, analyze international spillovers of national policy actions, highlight interconnected challenges, warn against risks of trade protectionism and financial mercantilism, and draw policy lessons—especially in financial regulation.
- Governance reform: Crisis underscores need to reform IFIs to align governance with today’s economic realities and reconfigure 20th-century global institutions to match 21st-century global challenges.

### Trade finance and short-term liquidity support
- G-20 agreement: Ensure availability of at least $250 billion of trade finance over the next two years through export credit and investment agencies and through MDBs.
- IFC action: Up to $50 billion of trade liquidity support over the next three years through the new Global Trade Liquidity Pool introduced by the International Finance Corporation (IFC).

### Financing gaps and scale of needs
- With the slump in private capital flows, estimates of developing countries’ financing gap in 2009 reach as high as $1 trillion.
- IFIs will need more resources to meet sharply increased demand for balance of payments financing and budget support for critical public spending (social safety nets, key infrastructure) and to shore up private sector through trade financing, bank recapitalization, and financing for small and medium enterprises.

### MDGs: Crisis impact and outlook
- Assessment (mid-2008): Major shortfalls in several MDGs; world leaders called for scaling up development efforts.
- Crisis effects:
  - The food, fuel, and financial crises together add new challenges to achieving the MDGs.
  - Rise in food prices between 2005 and 2008 pushed an estimated 160 million to 200 million more people into extreme poverty.
  - Falling food prices since mid-2008 are helping reduce this number; preliminary projections suggest that as local prices come into line with international prices, between 90 million and 120 million people who were pushed into poverty by high food prices by 2008 may emerge from poverty in 2009. Still, up to 100 million people pushed into poverty by the high food prices would remain poor in 2009.
- Growth slowdown effects:
  - Projected economic growth in developing countries in 2009 on average is now only about a quarter of that forecast before the onset of the financial crisis.
  - Historical relationship: a decline in the average GDP growth rate in developing countries by one percentage point can trap as many as 20 million more people in poverty.
  - Estimates of the poverty impact of the growth slowdown in developing countries as a result of the financial crisis range from 55   million to 90 million more poor people in 2009 than anticipated before the crisis.
- Vulnerability assessment:
  - A World Bank assessment found that almost 40 percent of developing countries were highly exposed to the poverty effects of the crisis (with both declining growth rates and high levels of poverty); most of the others were moderately exposed, with fewer than 10 percent facing little risk.
  - Three-quarters of the exposed countries had limited fiscal capacity to expand programs to curb effects of the economic downturn.
- Regional note: In Sub-Saharan Africa and South Asia (except India), the growth slowdown essentially eliminates the prospect of continued reductions in the poverty count at current growth projections.

*Source: GLOBAL MONITORING REPORT 2009 (excerpts).*

### 2009. Within these regions, which already

### 2009. Within these regions, which already

### Poverty and crisis impact
- Rising poverty expected in some fragile and low-growth economies, which may experience declines in per capita incomes as a result of the growth slowdown.
- Severe financial crises in the past that caused growth to turn negative produced sharp increases in poverty rates:
  - Indonesia: poverty head-count index rose by 11 percent in 1997 and a further 19.9 percent in 1998.
  - Thailand: increases of 9.8 percent and 12.9 percent in the same crisis years.
- Countries that suffered economic contractions of 10 percent or more between 1980 and 2004 experienced more than 1 million additional infant deaths.
- Projected slowdown in developing-country growth may increase infant deaths:
  - Infant deaths in developing countries may be 200,000 to 400,000 per year higher on average between 2009 and 2015 than without the crisis.
  - This translates into an additional 1.4 million to 2.8 million infant deaths during the period.

### Hunger, malnutrition, and food crisis effects
- Although the proportion suffering from hunger has fallen since 1990, serious shortfalls remain in halving incidence of hunger and malnutrition.
- About 1 billion people now suffer from hunger, and about 2 billion are undernourished.
- The food crisis is estimated to have caused the number of people suffering permanent damage from early childhood malnutrition to rise by 44 million in 2008.
- High food prices disproportionately affect the world’s poor, especially urban poor who are net food buyers and spend over half of their income on food.
- Decreases in household incomes can reduce both the quantity and quality of food consumption; children and women are particularly vulnerable.
- Child malnutrition accounts for 35 percent of the disease burden of children under age five.
- The proportion of under-five children in developing countries who are underweight declined from 33 percent in 1990 to 26 percent in 2006.
- Currently, more than 140 million children under five in developing countries suffer from malnutrition.

### Human development outcomes, education, and long-run effects
- The long-run implications may be more severe than short-run impacts: withdrawing children from school risks permanent loss of schooling and learning gaps; declines in child nutrition and health can be irreversible.
- In poor developing countries, education outcomes such as school enrollment tend to deteriorate during economic crises; income fluctuations have larger impacts on survival and school enrollment among girls than boys.
- Primary school completion:
  - In 2006 the primary school completion rate reached 85 percent for all developing countries, 93 percent in middle-income countries, and 65 percent in low-income countries.
  - As many as 75 million children of primary school age were not in school in 2007.
- Gender parity:
  - Almost two-thirds of developing countries reached gender parity at the primary school level by 2005.
  - The MDG 3 target of achieving gender parity in primary and secondary education can be met by 2015 at the global level, though Sub-Saharan Africa is likely to fall short.
- Maternal and child mortality:
  - Under-five mortality in developing countries declined from 93 to 72 deaths per 1,000 live births between 1990 and 2006.
  - In Sub-Saharan Africa, the under-five mortality rate in 2007 was 146 deaths per 1,000 live births, down from 183 in 1990.
  - An estimated 33 million individuals were living with HIV/AIDS in 2007; annual deaths from AIDS are estimated at more than 2 million a year.
  - Tuberculosis killed 1.8 million people in 2006.
  - Mortality from malaria remains about 1 million annually, 80 percent of whom are children under five in Sub-Saharan Africa.
  - Maternal mortality ratio declined by less than 1 percent per year between 1990 and 2005, far below the 5.5 percent annual decline needed to achieve MDG 5.
  - Sub-Saharan Africa maternal mortality ratio: 900 deaths per 100,000 births — twenty times greater than Europe and Central Asia.
  - As many as 10,000 women die every week in developing countries from treatable complications of pregnancy and childbirth.

### MDG progress and outlook
- Global-level prospects (based on current growth projections with recovery starting in 2010):
  - Reducing income poverty remains within reach at the global level.
  - Gender parity in primary and secondary education and access to safe water have seen relatively good progress and are expected to be met at the global level by 2015.
  - Nonincome human development goals (child and maternal mortality, primary school completion, nutrition, sanitation) are unlikely to be met at the global level.
- Regional and country variation:
  - Sub-Saharan Africa lags on all MDGs, including poverty reduction.
  - East Asia has largely succeeded in halving extreme poverty; China played a major role.
  - South Asia is on track for poverty reduction but seriously off track on most human development goals.
  - Middle-income countries as a group are on track to achieve the poverty reduction target but still contain large concentrations of poverty.
  - Fragile and conflict-affected states have made the least progress toward the MDGs; fragile states account for close to one-fifth of the population of low-income countries but more than one-third of their poor people.
- For developing countries as a whole, the proportion of extreme poor is projected to fall to 15 percent by 2015, below the MDG target of 21 percent.

### New estimates of global poverty (Box 1)
- Uses new PPPs from the International Comparison Program (ICP) and an expanded set of household surveys covering 115 developing countries.
- International poverty line recalibrated to $1.25 a day (measured in 2005 prices), replacing the $1.08 a day line (1993 prices).
- New estimates imply more poor people and greater incidence of poverty in middle-income countries:
  - About 1,375 million people in developing countries (25 percent of the population) were living in extreme poverty in 2005, compared with the previous estimate of 935 million (17 percent).
  - The new target poverty rate to achieve the poverty MDG is 20.9 percent (half of 41.7 percent in 1990), rather than the previous 14.4 percent (half of 28.7 percent in 1990).
- The upward revision does not imply the rate of poverty reduction since 1990 has been less rapid than previously estimated.

*Global Monitoring Report 2009 — MDGs: Crisis Impact and Outlook*

### 1.   United  Nations.  2008.  “Committing  to

### The Global Financial Crisis and Its Impact on Developing Countries

### Summary assessment of MDG outlook
- Provides a summary assessment of the outlook for the MDGs; more details on trends and a listing of the goals are provided in the annex to the report.
- Definitions of exposure to the financial crisis:
  - High exposure: countries experiencing combined effects from both declining growth rates and high initial poverty levels.
  - Moderate exposure: countries affected by either decelerating growth or high poverty levels.
  - Low exposure: economic growth at rates similar to precrisis conditions and low initial poverty levels.
- Key messages on international cooperation and aid:
  - Net ODA disbursements from the Development Assistance Committee rose during 2003–05 but fell in both 2006 and 2007, dropping from 0.33 percent of donors’ gross national income (GNI) in 2005 to 0.28 percent in 2007.
  - The ODA-to-GNI ratio increased to 0.30 percent in 2008, but larger and sustained increases in ODA will be needed to meet donors’ aid commitments.
  - Donors will need to demonstrate resolve in shielding aid budgets from the fiscal impact of the financial crisis.
  - The largest implementation gap in the trade area is the failure to date to conclude the Doha Round of trade negotiations.
  - Greater progress has been achieved in the provision of debt relief to poor countries, thanks to the Heavily Indebted Poor Countries Initiative and the Multilateral Debt Relief Initiative.
  - Monitoring transfer of technology and access to essential drugs is challenged by the lack of specific targets for commitments in these areas.

### Main messages on the crisis and its implications
- The world faces the severest credit crunch 77 and recession since the Great Depression. Developing countries’ growth prospects and access to external financing are subject to unusually large downside risks.
- Though originating in advanced countries, the crisis is hitting developing countries hard.
- While transmission channels may differ, both emerging market and low- income countries will be severely impacted.
- Economic policy responses should be adapted to country circumstances:
  - Countries with strong fundamentals may have room for monetary and fiscal stimulus,
  - Those in weaker macroeconomic positions and with limited access to external financing will have less room for policy maneuver; some may need to undertake fiscal consolidation.
- Advanced, emerging, and developing countries should take comprehensive action to resolve liquidity and solvency problems in the banking system and strengthen prudential supervision.
- Development aid must be increased to help countries cope with the crisis.
- It is crucial to maintain an open trade and exchange system.
- The immediate priority is to mitigate the impact of the crisis on developing countries’ growth and on programs critical for the poor and vulnerable, while maintaining international cooperation in the spirit of the Monterrey framework.

### Economic developments and projections
- Global GDP growth:
  - On an annualized basis, global GDP growth slowed to 2 percent in the second half of 2008 after an average growth rate of 5 percent over 2003–07.
- World Economic Outlook April 2009 baseline:
  - Projects a contraction of global output by 1.3 percent in 2009, compared with 3.2 percent growth in 2008 (table 1.1).
- Advanced economies:
  - Advanced economies are expected to contract in 2009 by 3.8 percent, compared with 0.9 percent growth in 2008.
- Emerging and developing economies:
  - Emerging market growth is expected to decline sharply to 1.5 percent in 2009, from 6.1 percent in 2008.
  - Growth in Sub-Saharan Africa will drop to 1.7 percent in 2009, from 5.5 percent in 2008.
- Table 1.1 (selected entries, annual percent change):
  - World output: 2008 = 3.2; 2009 = –1.3; 2010 = 1.9
  - Advanced Economies: 2008 = 0.9; 2009 = –3.8; 2010 = 0.0
  - United States: 2008 = 1.1; 2009 = –2.8; 2010 = 0.0
  - Emerging markets and developing countries: 2008 = 6.1; 2009 = 1.6; 2010 = 4.0
  - Sub-Saharan Africa: 2008 = 5.5; 2009 = 1.7; 2010 = 3.8
  - China: 2008 = 9.0; 2009 = 6.5; 2010 = 7.5
  - India: 2008 = 7.3; 2009 = 4.5; 2010 = 5.6

### Financial turmoil and transmission to emerging markets (Box 1.1 and discussion)
- Financial conditions expected to remain difficult in 2009 and could deteriorate further if the adverse feedback loop between the slowdown in the real economy and financial markets intensifies.
- Systemic financial risks appear elevated despite aggressive and unprecedented policy measures; these have failed to restore confidence in banks.
- Key points from Box 1.1 (verbatim style as in source):
  - Systemic financial risks again appear elevated and policy measures, although aggressive and unprecedented, 77 have failed to restore confidence in banks. Bank equity prices and credit premiums reflect serious solvency concerns, and in the absence of private sector willingness to provide bank capital, the policy debate has shifted toward the form and degree of public intervention. Recent borrowings have been confined to those that bear government guarantees.
  - Even with significant public capital injections, the pressure for banks in advanced economies to delever will 77 remain high as loan losses continue to accumulate, limiting the supply of credit into 2010. Other sources of financing also appear limited in the short term, apart from those supported by government programs.
  - Firms will be under increasing stress in 2009, as earnings deteriorate. Conditions will be especially difficult for 77 firms with lower credit ratings, which will face significantly higher financing costs, if they can borrow at all.
  - One risk is that an increase in the supply of government debt will lead to a rise in long- term rates, choking off 77 demand for financing by creditworthy borrowers.
  - There has been a structural reassessment of credit risk as a result of the crisis. The amount of financial lever-77 age that markets are allowing will be reduced for a sustained period.
  - The widespread process of deleveraging and risk retrenchment is continuing to weaken a broad range of finan-77 cial markets and institutions.
  - Funding markets continue to be dominated by central bank operations and, despite measures to alleviate credit 77 risk, residual counterparty concerns are limiting interbank activity.
  - Cross- border bank financing has contracted sharply. This has placed significant pressure on some European 77 banking systems reliant on cross- border flows to meet dollar refinancing needs, especially in emerging Europe.
  - Securitization markets remain severely hampered but are being supported by government guarantees or asset 77 purchases that are being extended to a widening range of securities.
  - Institutional investors have faced significant redemptions from retail clients while hedge funds’ assets under 77 management have fallen substantially due to losses and redemptions, and their access to financing has declined markedly.
  - Declining asset prices are spreading strains to other nonbank financial institutions such as insurance companies 77 and pension funds, which may face solvency risks forcing asset sales that add to adverse feedback loops.
  - Market volatility has dropped from the levels of late 2008, but equity markets remain near multiyear lows and credit spreads near multiyear highs.
  - Coordinated interventions and swap arrangements by global central banks have eased short- term liquidity condi-77 tions and offshore dollar shortages, but conditions have not normalized and liquidity remains very limited at longer maturities.
  - Asset purchase programs have led to some tightening of spreads in several markets (for instance, U.S. agency 77 securities, commercial paper, and consumer asset-backed securities), but spreads are rising further for corporate debt and commercial mortgages for which no government support is in place.
  - Emerging markets are coming under serious pressure from the global credit and economic crisis, particularly 77 in emerging Europe.
  - Emerging market financing costs remain significantly higher than precrisis levels, and bond issuance, which was 77 extremely low in the fourth quarter of 2008, has recovered only marginally, largely confined to higher- quality borrowers.
  - Emerging market corporates are facing extremely serious financing constraints, and some will almost certainly be unable to meet rollover needs.
  - Advanced economy banks undergoing severe pressures to shrink balance sheets are likely to scale back lending 77 to emerging markets, particularly in Europe. Local banks, facing their own pressures to deleverage, will be hard- pressed to substitute for the drop in financing of corporate clients from international banks and credit markets.

### Trade, commodity prices, inflation, and capital flows
- International trade flows collapsed in the last quarter of 2008, with world exports projected to decline in 2009 for the first time since 1982 (figure 1.1).
- Commodity and food prices:
  - Commodity and food prices came down considerably from their peaks in mid-2008.
  - Headline inflation in advanced economies receded to around 3.5 percent in December 2008 (12-month rate), down from 4.5 percent in mid-2008.
  - Risks of deflation have become a concern in some advanced economies given rapidly rising unemployment and output gaps.
  - Commodity and food prices are projected to rise again once global growth picks up.
- Capital and financial flows (Table 1.2 highlights):
  - In 2008 private financial flows to emerging markets declined by about 2 percentage points of GDP compared with 2007, while flows to other developing countries continued to rise.
  - Table 1.2 (selected entries, % of GDP):
    - Emerging market economies total (2008) = 8.4; (2009) = 3.8
    - Emerging market private capital flows, net (2008) = 3.4; (2009) = –0.6
    - Other developing countries total (2008) = 18.3; (2009) = 16.2
    - Other developing private capital flows, net (2008) = 6.8; (2009) = 4.9
  - Memorandum items (US$ billions):
    - Private capital flows, net (2008) = 307; (2009) = –82
    - Total net private financial flows including current transfers (2008) = 586; (2009) = 180

### Policy priorities and recommendations
- Immediate priorities:
  - Mitigate the impact of the crisis on developing countries’ growth and on programs critical for the poor and vulnerable.
  - Preserve the promise of the MDGs through a strong, coordinated international response and mutual accountability of both developing and developed countries.
- Policy responses:
  - Restore confidence in the financial system and counter falling international demand to support economic recovery.
  - Adapt economic policy responses to country circumstances (use of monetary and fiscal stimulus where room exists; fiscal consolidation where necessary).
  - Take comprehensive action to resolve liquidity and solvency problems in the banking system and strengthen prudential supervision.
  - Increase development aid and shield aid budgets from the fiscal impact of the crisis.
  - Maintain an open trade and exchange system.
  - Address financing constraints for emerging market corporates and sovereigns, and monitor effects of advanced-economy policy measures (including deposit insurance and public support) on capital flows to emerging markets.

*Global Monitoring Report 2009 — Chapter 1, "The Global Financial Crisis and Its Impact on Developing Countries"*

### chAPTER 1

### chAPTER 1

### Financial system vulnerabilities and capital flow reversals
- Domestic banks in low- income countries usually fund lending activities in relatively stable domestic savings markets and often have ample liquidity reserves parked at the central bank.
- Domestic interbank money markets and derivatives markets are in general small or nonexistent.
- Credit markets have therefore not witnessed the instabilities seen in some advanced economies, although:
  - foreign parent banks have withdrawn capital from subsidiaries in some countries;
  - stock markets have dropped sharply;
  - nonperforming loan portfolios may rise if economic activity weakens further.
- Some low- income countries have shown signals of sagging confidence in the banking system.
- As private investment plans are being scaled back, all groups of countries will be faced with sharply reduced syndicated bank lending, portfolio flows, and foreign direct investment in 2009.

### Exchange rate movements and market volatility (summary of figure 1.4 and Box 1.2)
- Emerging market currencies have seen sharp declines in recent months; market volatilities have risen to levels not seen after the Asian crisis of the 1990s.
- Example: volatility of the Indonesian rupee increased almost fivefold in 2008 compared with 2007.
- Contributing factors to increased exchange rate volatility:
  - Perceptions of increased external vulnerabilities amid slowing global growth and weakening commodity prices.
  - Shrunk risk budgets of international banks acting as market makers (lowered stop- loss thresholds; some large market makers, including Lehman Brothers and Bear Stearns, have withdrawn).
  - U.S. dollar liquidity squeeze on offshore markets reduced market makers’ turnover and cushioning impact on daily volatility.
  - Some banks deprived of access to U.S. dollar lending from correspondent banks; mitigated in part by swap arrangements between the Federal Reserve and Brazil, the Republic of Korea, Mexico, and Singapore.
  - Withdrawal of key market makers and investment banks (reliance on interbank market, lack of deposit base) reduced the cushion of risk capital.
- Volatility measure:
  - Volatility is calculated as the index of the annual coefficients of variation (standard deviation/mean) of daily spot exchange rates.

### Rising vulnerabilities in emerging and developing countries
- Confluence of weak economic activity, sharp swings in commodity prices, and financial market instability is increasing vulnerabilities.
- Countries that entered the global crisis with weak macroeconomic fundamentals are most severely hit.
- Terms- of- trade effects:
  - As a group, terms of trade for emerging and developing countries have not changed much in recent years, but there are sharp contrasts depending on countries’ composition of imports and exports.
  - Commodity- importing emerging markets with large manufacturing industries and net fuel importers benefit from lower commodity input prices.
  - Countries highly dependent on exports of fuels, metals, and some other commodities are experiencing a weakening of their terms of trade.
- Remittances:
  - Reflecting rising unemployment and weak earnings growth among migrant workers in advanced economies, remittance flows to developing countries began to slow down in Q3 2008.
  - Although in U.S. dollar terms remittances are still up for 2008 as a whole, overall flows are projected to fall by 5 percent to 8 percent in 2009.
  - Countries relying on remittances most affected: Latin America, the Middle East and North Africa, and South Asia.
- Per capita income adjusted for terms of trade:
  - 13 Sub-Saharan African countries will experience decline in per capita income in 2009 on the order of 11 percent on average.
  - North Africa and the Middle East face comparable situations; other regions are less affected.
- Official transfers and aid:
  - Official transfers are expected to either remain broadly unchanged or decline in 2009, at a time when private capital flows are slowing rapidly.
  - “On current trends, official aid will not play a counter cyclical role in developing countries as it should. To prevent a reversal of years of development progress, official aid should be increased substantially in 2009 and later years.”
- Current accounts and reserves:
  - More than half of the emerging and developing countries can expect a weakening of current account balances in 2009.
  - Oil exporters in the Middle East and North Africa: average weakening in current account balances by 6 percentage points of GDP in 2009.
  - Europe and the Commonwealth of Independent States (CIS): weakening of about 3.5 percentage points of GDP in 2009.
  - 14 countries are projected to see a deterioration in the current balance of more than 10 percent of GDP.
  - Many countries will experience steep declines in foreign exchange reserves in 2009, especially in Europe and Sub- Saharan Africa, and the risks of debt defaults are rising.

### Remittances (table 1.3 data)
- Remittances include workers’ remittances, compensation of employees, and migrant transfers.
- Emerging market economies (US$ (billions)):
  - Annual average 1992–2002: 56.8
  - 2003: 114.4
  - 2004: 128.0
  - 2005: 153.5
  - 2006: 179.1
  - 2007: 218.9
  - 2008 (estimate): 240.5 2 2 9.1 2 2 7. 5
  - 2009 (base case scenario forecast): [entry in source text unclear]
  - 2010 (base case scenario forecast): [entry in source text unclear]
- Other developing countries (US$ (billions)):
  - Annual average 1992–2002: 16.8
  - 2003: 27.5 33.8 39.2 47.3 59.2 62.0 58.1 66.0 (source text entries run together)
- Fragile states (US$ (billions)):
  - 1992–2002: 1.2
  - 2003: 2.7
  - 2004: 3.1
  - 2005: 2.7
  - 2006: 3.1
  - 2007: 4.1
  - 2008: 4.3
  - 2009 (estimate): 4.2
  - 2010 (forecast): 5.2
- Source note: World Bank remittances data; table entries in the source PDF show formatting irregularities for some 2008–2010 figures.

### Macroeconomic and fiscal impact; policy challenges
- Fiscal positions are weakening in 2009 due to:
  - slowing domestic revenue growth;
  - increased spending on social programs in response to the crisis;
  - deteriorating terms of trade in commodity exporters.
- Fiscal deterioration by group:
  - Fuel- exporting economies: average deterioration in the overall government balance of just over 10 percentage points in 2009.
  - Nonfuel commodity exporters: fiscal balances will deteriorate as well, but less than in fuel exporters.
- Government balances (figure 1.10):
  - Government balances are shown for 2008–09 by groups: Nonfuel primary products exporters, Fuel exporters, All other countries (percent of GDP).
- Policy tradeoffs and recommended approaches:
  - Macroeconomic policies should be adapted to country-specific circumstances; no uniform response.
  - Authorities should:
    - support economic growth while keeping inflation under control;
    - strengthen banking system liquidity;
    - ensure frameworks for prompt resolution of liquidity and solvency problems, especially for systemically important financial institutions;
    - clarify need for strengthening domestic prudential supervision and market regulation;
    - prepare contingency plans for sudden stops in capital flows and domestic banking shocks.
  - With balance of risks shifted from inflation to financial instability and deteriorating growth prospects, many countries have scope for:
    - monetary easing and discretionary fiscal policies to support domestic demand where inflation is rapidly declining, fiscal balances are sustainable, reserves are strong, and external vulnerabilities are limited.
  - Fiscal stimulus design:
    - Prefer temporary tax measures or quick- disbursing public expenditure of a nonrecurrent nature that can be quickly reversed (e.g., increased spending on infrastructure maintenance).
    - Avoid measures leading to sizable future liabilities that may undermine fiscal sustainability (e.g., large increases in the public wage bill).
  - Countries facing unsustainable fiscal and current account deficits and reduced access to financing may need to seek further support and adjust policies until domestic activity recovers.

### Commodity-exporters: dealing with increased price volatility (Box 1.3)
- 2008 saw marked increases in commodity price volatility; example: standard deviation of rice prices in 2008 more than tripled compared with 2007.
- Volatility drivers: deleveraging in advanced economies, concerns about growth prospects and vulnerabilities, supply constraints, and short-term demand inelasticities.
- Policy implications and recommendations:
  - Establishment and expansion of stabilization funds:
    - Accumulate assets in a stabilization fund based on prudent, relatively low projections of export prices initially; as assets grow, move toward a moving average price path.
    - Simulation for Nigeria: with a three- year moving average price, a stabilization fund asset level of about 75 percent of 2004 government revenue from oil production would reduce the probability of a forced adjustment of government spending to below 20 percent.
    - Optimal size of a stabilization fund is sensitive to export price variability; higher recent volatility argues for larger average size.
    - Timing of build-up should be procyclical-aware: shift to larger buffers should take place during periods of rising commodity prices and economic growth, not during distress.
  - Use of forward markets and long- term contracts to reduce short- term price risks:
    - Liquidity of forward markets has grown, especially for crude oil (hedging possible up to seven years) and precious metals, and also some base metals and agricultural commodities.
  - Higher price volatility increases the optimal size of foreign exchange reserves:
    - Reserves act similarly to stabilization funds for the broader economy; sharp export price fluctuations imply higher optimal reserves.
    - Drummond and Dhasmana (2008) found that foreign exchange reserves in almost one-half of 44 commodity- exporting countries in Sub- Saharan Africa were, on average, roughly one- third below optimal levels at end-2007.
- Volatility measure:
  - Volatility is calculated as the index of the annual coefficients of variation (standard deviation/mean) of daily commodity prices; rice calculations use monthly prices (index 1996 = 100).

*Source: chAPTER 1, GLOBAL MONITORING REPORT 2009 (IMF).*

### chAPTER 1

### _gmr - chAPTER 1

### The international crisis and its immediate impact on developing countries
- Total foreign exchange receipts by low- income countries will drop sharply in 2009, causing an additional financing need of at least $25 billion.
- Contraction in world trade and sharp declines in financial flows are forcing adjustment, with risks of imposing unacceptable burdens on the poorest.
- Many governments face external financing constraints that limit the scope for monetary and fiscal stimulus; maintaining fiscal and debt sustainability is often the priority.

### The importance of an open international trade and exchange system
- Export restrictions in 2008 aggravated world market food price increases and undermined confidence in the international trade system.
- Emerging measures to raise tax revenue or protect domestic industries, and pressures to curtail cross- border bank lending, could deepen the global recession if adopted widely.
- Rapid and substantial progress in opening markets at the multilateral level remains a priority; reinvigorating the Doha Round is urged.

### Policy responses and priorities for countries with varying fundamentals
- Countries with limited access to international financing and vulnerable external debt positions may need:
  - tighter monetary policy,
  - fiscal deficit reduction,
  - an exchange rate depreciation to support growth and external viability,
  - improved expenditure management to protect core spending, including infrastructure and social safety nets.
- Countries with sound macroeconomic fundamentals may continue medium- term policies aimed at maintaining stable economic conditions, even amid slowing demand.
- Where administrative capacity, data quality, and policy credibility are limited (especially in many low- income countries), policies that prioritize fiscal and debt sustainability while allowing automatic stabilizers to operate are likely to yield more positive growth effects than short- term stimulus measures.

### Support from the international community
- The international community must act decisively to support low- income countries, most of which will not be able to address the effects of the international crisis through adjustment alone without assistance.
- Urgent increases in official development aid are underscored by the projected $25 billion additional financing need for low- income countries in 2009.

### Maintaining longer-term priorities
- The food crisis is not over: food prices remain relatively high compared to the first half of the decade and upward pressures may reappear when the global economy recovers.
- Policy makers should plan for enhancing food security through increased investment in agriculture and domestic reforms to develop commercial farming and increase small holder productivity.
- Phasing out fuel price subsidies should be a high priority, replacing them with better-targeted social protection schemes to protect the poor and avoid unsustainable fiscal positions and adverse climate objectives.

### Prudential supervision, market regulation, and financial infrastructure
- The globalization of financial institutions increases cross-border transmission of severe shocks; a comprehensive approach to prudential supervision and market regulation is needed.
- Four dimensions for strengthening financial system robustness:
  - strengthen the soundness of individual institutions;
  - solidify contingency planning and crisis management frameworks;
  - mitigate risks from cross- border exposures and spillovers;
  - adopt a broader macroeconomic orientation for financial surveillance.
- Supervisory priorities:
  - ensure supervisors have expertise and resources to assess banks’ risk models and conduct stress tests that contemplate low- probability risks;
  - give equivalent weight to supervision of liquidity risk and solvency risk;
  - strengthen systemic liquidity frameworks and the central bank’s role as lender of last resort where needed;
  - monitor nonbank financial institutions and off- balance-sheet items and derivatives.
- Strengthen financial infrastructure resilience, including domestic clearing and settlement systems and retail electronic payment systems, especially in countries with less developed financial systems.

### Contingency planning and interventions
- Contingency planning and crisis preparedness arrangements need strengthening in light of the current crisis.
- Government interventions must be credible in funding and implementation and avoid aggravating market distortions (for example, encouraging banks to lend prematurely or misusing guarantees).

### Social protection and safety nets
- Many low- income countries have weak safety nets and limited data on welfare impacts; crises offer opportunities to improve monitoring systems.
- Well-targeted and flexible measures are preferable to broad subsidies:
  - direct income support,
  - workfare (public works),
  - food- for- work programs,
  - expanded conditional cash transfer (CCT) programs where feasible.
- About one- third of developing countries increased fuel price subsidies in 2008; these are often cost- ineffective and may be counterproductive over the medium term.
- Workfare programs with self-targeting features and credible guarantees can provide timely income support and reduce longer-term costs of risks facing the poor.

### Boxed country examples and specific figures
- Box 1.5 highlights sharp declines in foreign exchange resources, dismal growth, deteriorating fiscal balances, and sharp declines in private demand across emerging and developing countries.
- Country examples of negative impacts include Tanzania, Kazakhstan, Chile, and Latvia:
  - For Latvia, the fiscal balance includes estimated bank restructuring costs of 12.4 percent of GDP in 2009.
- Box 1.4 reports IMF staff survey findings on the quality of macroeconomic policies in low- income countries, noting improvements in fiscal policy and fiscal transparency up to 2008, but declines in monetary policy and governance in monetary and financial institutions in 2008.

*Source: _gmr - chAPTER 1, _gmr - chAPTER 1.*

### chAPTER 1

### chAPTER 1

### Financial sector resilience, supervision, and crisis management
- National authorities must ensure a robust legal process for early intervention in, and resolution of, failing financial institutions; regulatory authorities need the power to close or restructure a troubled financial institution.
- Critical conditions during a financial crisis: a clear hierarchy in decision-making, up-to-date supervisory information, and the ability to act swiftly.
- Greater coordination among central banks, financial regulators, and their respective governments, both domestically and on a cross-border basis, would contribute to better monitoring of liquidity and solvency risks.
- National authorities must ensure clarity over deposit insurance responsibility and coverage, including for cross-border institutions; coverage must be credible and payouts provided promptly to minimize disruptions in the payments system.

### The Financial Sector Assessment Program (FSAP): framework and findings (Box 1.7)
- FSAP is a joint IMF–World Bank program synthesizing a comprehensive view of a country’s financial sector risks, vulnerabilities, and development needs.
- Coverage: over two-thirds of countries covered by a first-round FSAP or FSAP update; coverage remains uneven across regions and levels of development, with mainly developing countries covered, but coverage of developing countries is rising.
- Assessment framework rests on three pillars:
  - Macroprudential surveillance and financial stability analysis to monitor macroeconomic and institutional impacts on financial system risks and vulnerabilities.
  - Financial system supervision and regulation to manage risks, protect market integrity, and provide incentives for strong risk management and good governance.
  - Financial system infrastructure, including legal infrastructure for finance; systemic liquidity infrastructure (monetary and exchange operations; payments and securities settlement systems; structure of money, exchange, and securities markets); governance and transparency (accounting and auditing framework, market monitoring arrangements, credit reporting systems).
- FSAP assessments consider complementarities and trade-offs between financial stability and development, the sequencing and coordination of financial policies, and have been an important tool shaping policy advice during the financial market crisis.
- Since August 2007, 21 FSAPs (mostly updates) have taken place, with particular attention to crisis management frameworks, cross-border supervisory cooperation, exposures to subprime-related instruments, and tighter funding conditions.

### Common regulatory and supervisory shortcomings identified in recent FSAP reports (Box 1.8)
- Sample: 16 FSAPs and FSAP updates in emerging and developing countries in 2007–08 (countries include Algeria, Botswana, Costa Rica, Croatia, Arab Republic of Egypt, Haiti, Kazakhstan, Lithuania, Moldova, Mongolia, Morocco, Namibia, Sri Lanka, Thailand, Ukraine, WAEMU).
- Identified common shortcomings:
  - Insufficient independence and enforcement powers of supervisory agencies (examples cited: Haiti, Mongolia, WAEMU; resource/operational independence: Lithuania, Namibia, Costa Rica, Kazakhstan).
  - Insufficient tools to assess borrower creditworthiness and collateral quality (WAEMU; Egypt, Haiti; Haiti, Thailand).
  - Weak risk management: need for adequate provisioning rules and capital risk weights (Kazakhstan, Morocco, Ukraine); connected-lending and concentration risk regulation (Haiti, Mongolia, WAEMU); consolidated supervision for groups and offshore subsidiaries (Botswana, Costa Rica, Kazakhstan, Namibia, Sri Lanka, Ukraine); weak internal controls (Haiti, Morocco); limited liquidity risk management (Algeria, Kazakhstan, Mongolia).
  - Limited coordination between bank and nonbank supervisory authorities (Croatia, Ukraine).
  - Distortionary role of the state in the financial system: weak supervision of state-owned banks and recommendations to scale back government ownership/interference (Algeria, Sri Lanka, Thailand; Botswana, Egypt, Mongolia).
  - Weak payment and settlement infrastructure.
  - Insufficient contingency planning: recommended revamping of early remedial actions and bank resolution systems (Costa Rica, Haiti, Kazakhstan, Sri Lanka, Ukraine); initiating formal cross-border crisis management arrangements (Lithuania); clarifying roles in contingency planning (Croatia).
  - Underdeveloped capital market infrastructure: increase disclosure standards and transparency, simplify legal procedures for listings and bond issuances, establish benchmark yield curve (Algeria, Ukraine, Egypt, Namibia, Botswana).
  - Limited capacity to assess financial stability: improve financial sector data and analytical capacity, including stress testing (Egypt, Namibia, Ukraine).

### Policy responses implemented during the turmoil (summary from Table 1.4)
- Table 1.4 summarizes key measures by country across the following categories: Higher deposit insurance coverage; Other debt guarantee provision; Bank recapitalization; Foreign exchange liquidity support; Domestic liquidity support; Capital controls.
- Total counts across the sample: Higher deposit insurance coverage: 21; Other debt guarantee provision: 6; Bank recapitalization: 6; Foreign exchange liquidity support: 15; Domestic liquidity support: 19; Capital controls: 6.
- Notes: a. Bank recapitalization not yet implemented in some cases, possibly only as contingency. (Table labeled: Source: IMF. Note: This is a summary of key measures taken by authorities.)

### Need for greater international cooperation and cross-border crisis coordination
- Crisis calls for enhanced international policy cooperation among countries with international banks; closer cooperation between home and host supervisors is needed.
- For countries with banking systems dominated by foreign-owned banks (noted especially in Eastern and Central Europe and Sub-Saharan Africa), behavior of foreign subsidiaries may depend largely on parent groups abroad—necessitating coordinated inspections, joint risk assessments, and planning for major bank failure.
- Recommendation to augment the role of international supervisory colleges for cross-border financial institutions to achieve more effective information exchange.
- Close cross-border coordination in crisis management is necessary to forestall beggar-thy-neighbor policies with damaging cross-border spillover effects and market distortions; recent unilateral increases in deposit insurance coverage illustrate how lack of coordination can cause serious spillovers.

### Emphasis on systemic risks and prudential policy implications
- Financial surveillance should place greater emphasis on systemic risks and wider implications for economic stability; pay closer attention to sources of financing of domestic credit and macroeconomic implications.
- Surveillance should consider composition of private sector credit, impact on external position, and banking system’s ability to absorb shocks from sharp unwinding of external funding—particularly for countries with large foreign ownership components (examples cited: Baltics, Hungary, some Sub-Saharan African countries).
- Central banks must have access to institution-specific supervisory information to assess systemic risks, including payments system and emergency liquidity operations.
- Regulators must ensure market participants are fully informed of risks inherent in financial products; financial supervisors must ensure capital buffers are commensurate with risks.
- Prudential regulations should explicitly counter cyclical tendencies through larger liquidity and capital buffer requirements and dynamic loan loss provisioning to account for under-pricing of risk in upturns.
- Authorities must counteract institutions’ tendency to become “too big to fail” or “too connected to fail” to internalize economic costs of financial instability—tools include competition policy, restrictions on activities, or prudential measures (capital requirement or deposit insurance premiums) to protect taxpayers’ interests.

### Capital restrictions as a last resort
- Capital restrictions might be unavoidable as a last resort to prevent or mitigate crisis effects. A few emerging countries introduced capital controls and other measures to monitor or limit conversion of domestic currency into foreign exchange (see Table 1.4).
- Caution: capital controls typically result in economic distortions harmful for longer-term growth and lose effectiveness quickly as market participants find ways to circumvent them; they may undermine investor confidence.
- Conclusion: capital controls may need to be imposed only as a last resort to help mitigate a financial crisis and stabilize macroeconomic developments.

### Poverty effects of the food and financial crises and short- and longer-term outlooks
- Between 2005 and 2008, the rise in food prices pushed an estimated 160 million to 200 million people into extreme poverty.
- Although international food prices declined since mid-2008, local prices lag, so benefits are not immediately felt; no more than 90 million to 120 million people who had been pushed into poverty by high food prices may emerge from poverty in 2009.
- The slowdown from the global financial crisis further increases poverty: on current growth projections, there will be about 55 million more extreme poor (those living below $1.25 a day in 2005 PPP terms) in developing countries in 2009 than expected before the financial crisis.
- Projections for 2009: the poverty rate is expected to decline in 2009 by 0.6 percentage point, compared with an average annual decline of 1.3 percentage points in the three-year period preceding 2009.
- Table 1.5 (short-term poverty outlook, people below $1.25/day, 2005 PPP) — selected table entries (Number of people in millions; Change in number of people in millions; % of population; Change in percentage points):
  - East Asia and the Pacific: 2008: 222.5; 2009: 203.0; Change in number: –31.2; 2005–08 a: –19.5; % of population 2008: 11.5; 2009: 10.4; Change (percentage points) 2008–2009: –1.8; 2005–08 a: –1.1
  - Europe and Central Asia: 2008: 15.1; 2009: 15.5; Change in number: –0.7; 2005–08 a: 0.4; % of population 2008: 3.2; 2009: 3.3; Change (percentage points) 2008–2009: –0.2; 2005–08 a: 0.1
  - Latin America and the Caribbean: 2008: 37.6; 2009: 40.3; Change in number: –2.5; 2005–08 a: 2.7; % of population 2008: 6.6; 2009: 7.0; Change (percentage points) 2008–2009: –0.5; 2005–08 a: 0.4
  - Middle East and North Africa: 2008: 8.6; 2009: 8.3; Change in number: –0.8; 2005–08 a: –0.3; % of population 2008: 2.7; 2009: 2.5; Change (percentage points) 2008–2009: –0.3; 2005–08 a: –0.2
  - South Asia: 2008: 536.3; 2009: 530.6; Change in number: –19.8; 2005–08 a: –5.7; % of population 2008: 34.8; 2009: 33.9; Change (percentage points) 2008–2009: –1.8; 2005–08 a: –0.9
  - Sub-Saharan Africa: 2008: 382.7; 2009: 385.9; Change in number: –1.9; 2005–08 a: 3.2; % of population 2008: 46.7; 2009: 46.0; Change (percentage points) 2008–2009: –1.4; 2005–08 a: 0.7
  - Total: 2008: 1,202.8; 2009: 1,183.6; Change in number: –56.9; 2005–08 a: –19.2; % of population 2008: 21.3; 2009: 20.7; Change (percentage points) 2008–2009: –1.3; 2005–08 a: –0.6
  - Low-income countries: 2008: 952.3; 2009: 947.8; Change in number: –26.9; 2005–08 a: –4.5; % of population 2008: 38.0; 2009: 37.2; Change (percentage points) 2008–2009: –1.8; 2005–08 a: –0.8
  - Middle-income countries: 2008: 262.1; 2009: 247.2; Change in number: –33.1; 2005–08 a: –14.9; % of population 2008: 8.3; 2009: 7.8; Change (percentage points) 2008–2009: –1.2; 2005–08 a: –0.5
  - Source: World Bank (model-based projections). Note: PPP = purchasing power parity. a. Simple annual average change for the three-year period 2005–08.
- Labor market impacts (ILO estimates): some 30 million more people around the world may be unemployed in 2009 compared with 2007, of which 23 million could be in developing countries; the labor market impact is estimated to be associated with 93 million additional people classified as extreme poor.
- Longer-term outlook and MDG prospects:
  - Current growth projections envisage a gradual recovery in developing country growth starting in 2010; per capita GDP growth in developing countries is expected to rebound to an average of about 4.5 percent per year during 2011–15.
  - On these projections, the proportion of people living below $1.25 per day is expected to reach 15.1 percent by 2015, surpassing the MDG target of 20.8 percent for developing countries as a whole (table 1.6).
  - Projections are subject to considerable uncertainty and downside risks stemming from the crisis.
- Table 1.6 (longer-term poverty outlook, people below $1.25/day, 2005 PPP) — selected table entries (Number of people in millions; % of population; Over/under MDG):
  - East Asia & Pacific: 1990: 873.3; 2005: 316.2; 2015: 103.6; % of population 1990: 54.7; 2005: 16.8; 2015: 5.1; Over/under MDG: 22.3
  - East Asia & Pacific, excluding China: 1990: 190.1; 2005: 108.5; 2015: 43.5; % of population 1990: 41.3; 2005: 18.7; 2015: 6.7; Over/under MDG: 14.0
  - Europe & Central Asia: 1990: 9.1; 2005: 7.3; 2015: 12.8; % of population 1990: 2.0; 2005: 3.7; 2015: 2.7; Over/under MDG: –1.7
  - Latin America & the Caribbean: 1990: 49.6; 2005: 45.1; 2015: 33.4; % of population 1990: 11.3; 2005: 8.2; 2015: 5.4; Over/under MDG: 0.3
  - Middle East & North Africa: 1990: 9.7; 2005: 11.0; 2015: 6.7; % of population 1990: 4.3; 2005: 3.6; 2015: 1.8; Over/under MDG: 0.4
  - South Asia: 1990: 579.2; 2005: 595.6; 2015: 416.1; % of population 1990: 51.7; 2005: 40.3; 2015: 24.5; Over/under MDG: 1.4
  - South Asia, excluding India: 1990: 143.7; 2005: 139.8; 2015: 97.7; % of population 1990: 55.3; 2005: 36.6; 2015: 21.2; Over/under MDG: 5.4
  - Sub-Saharan Africa: 1990: 295.7; 2005: 388.4; 2015: 352.6; % of population 1990: 65.7; 2005: 50.9; 2015: 36.6; Over/under MDG: –7.8
  - Total: 1990: 1,816.6; 2005: 1,373.5; 2015: 925.2; % of population 1990: 41.7; 2005: 25.2; 2015: 15.1; Over/under MDG: 5.7
  - Total, excluding China: 1990: 1,133.5; 2005: 1,165.8; 2015: 865.1; % of population 1990: 35.2; 2005: 28.2; 2015: 18.1; Over/under MDG: –0.6
  - Low-income countries: 1990: 920.4; 2005: 1,032.9; 2015: 789.3; % of population 1990: 52.8; 2005: 43.5; 2015: 28.0; Over/under MDG: –1.6
  - Middle-income countries: 1990: 914.2; 2005: 361.5; 2015: 143.5; % of population 1990: 35.0; 2005: 11.8; 2015: 4.3; Over/under MDG: 13.2
  - Source: World Bank (model-based projections). Note: PPP = purchasing power parity. a. The difference in percentage points between the MDG target and the projected poverty rate in 2015. Negative numbers indicate underperformance.

*Source: GLOBAL MONITORING REPORT 2009 — chAPTER 1 (excerpts).*

### chAPTER 1

### chAPTER 1

### Poverty trends and MDG prospects
- The share of people living in extreme poverty will remain well above the MDG target of 28.8 percent in 2015.
- Regional prospects:
  - South Asia will barely meet the MDG target.
  - East Asia and Pacific has already surpassed the target.
  - Latin America and the Caribbean is on track.
  - Middle East and North Africa and Europe and Central Asia are likely to miss the MDG target but started from much lower poverty levels.
- Income-group projections:
  - Low-income countries: poverty rate projected to fall from 52.8 percent to 28.0 percent between 1990 and 2015.
  - Middle-income countries: poverty rate projected to decline from 35 percent to 4.3 percent.
  - Considerable variation exists among individual countries within these groupings.
- Growth volatility and poverty:
  - Growth accelerations and decelerations have an asymmetric impact on poverty and human development outcomes: outcomes deteriorate more quickly during growth decelerations than they improve during growth accelerations.
  - Preventing growth collapses is essential for regions such as Sub-Saharan Africa to attain the MDGs.
  - Had Africa avoided its growth collapses, its GDP per capita would have grown at 1.7 percent a year instead of 0.7 percent between 1975 and 2005, and it would have been more than 30 percent higher by the end of the period.

### Role of private investment climate for recovery and growth
- Economic growth is central to achieving the MDGs; a vigorous private sector is vital for strong and sustainable growth.
- Private sector contributions:
  - Drives job creation, increases in productivity, and economic growth.
  - Private-sector jobs provide most of the income in developing and developed countries.
  - Revenues from private sector transactions and incomes pay for many public goods provided by governments.
  - Competition spurs technological advancements and productivity gains.
- Poverty link:
  - Expansion of job opportunities is identified as the single most important pathway out of poverty.
  - Empirical point: when average household incomes rise by 2 percent, poverty rates fall by about twice as much on average.
- Crisis context:
  - The international financial crisis has constrained credit availability, causing firms to downsize, lay off workers, and delay or cancel investment plans.
  - Ensuring the private sector has necessary tools and appropriate fiscal and monetary policies is critical for recovery and growth.
- Policy agenda elements assessed:
  - Regulatory and institutional environment.
  - Access to financial services.
  - Access to infrastructure (with the private sector also playing a role in provision).

### Key constraints from Enterprise Surveys
- World Bank Enterprise Surveys (over 100 countries) provide subjective rankings and objective measures (e.g., outage frequency, generator costs, production lost).
- Firm responses identify three key constraints worldwide:
  - Regulatory environment.
  - Access to finance.
  - Infrastructure.
- Patterns by income level (survey summary):
  - Firms in high-income countries report far fewer constraints; shares reporting major or severe constraints are much lower than in developing countries.
  - Access to electricity and finance are the top two issues in low-income countries.
  - Telecommunications is not reported as a major constraint in any income category.
- Middle-income country concerns:
  - Most significant reported areas: tax rates, tax administration, competition from the informal sector, and corruption.
  - As income rises, formal regulatory procedures and time delays tend to fall, but enforcement often strengthens, potentially explaining why entrepreneurs in middle-income countries report being more constrained by regulation.
  - Corruption and regulatory constraints may be correlated.
- Effects of weak investment climate:
  - Weaknesses shift firm size distribution downward.
  - Interruptions in power reduce growth of large firms and encourage more small, labor-intensive firms.
  - Lack of access to finance lowers growth across firm sizes and disproportionately hurts small firms.

### Regulatory design, enforcement, and market failures
- Regulations address market failures such as externalities, information asymmetry, and monopoly power.
- Government challenge: correct market failures without overreaching; overregulation can stifle opportunities and curtail growth.
- Principle emphasized:
  - The aim should be better, not necessarily fewer, regulations.
  - Enforcement quality and broader governance matter greatly for regulatory effectiveness.
  - Keep regulations simple, transparent, and enforceable.
- Risks of heavy regulatory burden in low-capacity settings:
  - Can produce perverse outcomes, undermining government credibility and effectiveness.

### Doing Business indicators and regulatory reform evidence
- Doing Business project benchmarks 10 regulatory areas and shows wide variation across countries.
- Empirical findings:
  - Richer countries tend to have more efficient and streamlined regulations, but with considerable variation.
  - What matters is quality of regulations, including enforceability, not just number of procedures.
- Cross-country improvement data:
  - Across six years of Doing Business data, 126 of the 178 economies with at least two years of data register an improvement of 10 percent or more in at least one indicator.
  - Fifty- two countries report such an improvement in more than three indicators.
  - Only 18 countries report an overall reversal in an indicator.
- Regional patterns:
  - Europe and Central Asia has had a higher share of countries with improving indicators.
  - Sub-Saharan Africa has had somewhat smaller improvement over time but the majority of countries there saw indicators improve in 2007–08.
- Country examples and outcomes:
  - Three of the world’s top ten economies that reformed business regulations were from Sub-Saharan Africa: Botswana, Burkina Faso, and Senegal.
  - Mauritius moved up to 24 in the global rankings on regulatory ease of doing business.
  - South Africa ranked 32 and Botswana ranked 38 among top reformers.
  - Egypt: six months after reforming its property registry, title registrations increased and related revenue rose by 39 percent.
  - Oman: commercial registrations increased by 93 percent during the year after implementing a one-stop shop for business start-ups.
  - Saudi Arabia: reducing minimum capital requirements led to increased registrations (specific figure not provided in supplied text).

### Policy implications and priorities highlighted
- Priorities for improving the investment climate:
  - Focus on better, enforceable regulations rather than fewer regulations per se.
  - Strengthen enforcement capacity and broader governance to enhance regulatory effectiveness.
  - Protect infrastructure investment from the impact of the crisis to support short-term recovery and foundations for future growth.
  - Tackle regulatory costs and strengthen property rights to generate significant increases in investment and productivity.
  - Pay special attention to the financial sector given the crisis and to ensuring firms have access to finance to support recovery and growth.

*GLOBAL MONITORING REPORT 2009, chAPTER 1.*

### chAPTER 2

### chAPTER 2

### Subnational indicators and country examples
- An expanded number of countries, including China, Mexico, Nigeria, and the Philippines, have developed subnational indicators of regulations, allowing for more tailored messages, improved benchmarking, and easier demonstration of what is feasible within the country.
- Mexico: time to enforce a contract varies from 248 days in Zacatecas to 560 days in Quintana Roo. Zacatecas and other states are reducing the backlog by creating specialized commercial courts. Other states are increasingly using electronic platforms to share information and manage cases.
- The Dominican Republic was the top small-island reformer in 2008, as well as a top-10 reformer globally.

### Patterns and scope of regulatory reform
- With six years of Doing Business data, it is possible to look in to an 81 percent increase in new company registrations.
- Figure 2.4 (summary): the share of countries posting an improvement of at least 10 percent, 2003–08, shows:
  - Most common reforms: starting a business (days), followed by trading across borders (days) and accessing credit (info).
  - Less common reforms: employing workers (rigidity), closing a business (days), and investor rights (disclosure).
- Country characteristics associated with reform:
  - For six regulatory areas, countries with longer initial times to complete regulatory processes have been more likely to make subsequent reforms.
  - Low-income countries have been more likely to reform access to credit, construction permits, and disclosure rules.
  - High-income countries have been relatively more focused on reforms regarding starting a business and employing workers.
- Landlocked and small island economies:
  - Face compounded geographical and bureaucratic regulatory challenges.
  - Compared with coastal economies, landlocked countries tend to rank lower in starting a business, dealing with construction permits, getting credit, protecting investors, paying taxes, trading across borders, and closing a business.
  - Overall, landlocked economies have an average ranking of 107 out of 181 economies covered by the global Doing Business 2009 report.

### Evidence that business-environment reforms matter (Box 2.2 — key empirical findings)
- Barseghyan (2008):
  - An increase in entry costs by 80 percent of income per capita (one half of their standard deviation) decreases total factor productivity and output per worker by 22 percent and 29 percent, respectively.
- Klapper, Laeven, and Rajan (2006):
  - The difference in real growth rates of value added per worker between retail and pulp wood industries in the Czech Republic versus Italy is 0.7 percentage points higher; with the average real growth rate in value added per worker at 1 percent, this is sizable.
- Chari (2008) — India (1984–90):
  - When entry costs were cut by approximately 65 percent, the resulting productivity increase was as much as 28 percent over the six years covered, of which 16 percent was directly contributed by the entry reforms.
- Bruhn (2008) — Mexico (2002 simplification of entry regulations):
  - A 5 percent increase in entry in eligible industries.
  - Employment in eligible industries went up by 2.8 percent.
  - Results imply competition from new entrants lowered prices by 0.6 percent and decreased the income of incumbent businesses by 3.2 percent.
  - Little of the entry effect was attributable to informal firms registering; rather, former wage earners opened new businesses.

### Effects of regulations within countries and on firm heterogeneity
- Cross-country correlations show that countries with more regulatory burdens often have large informal sectors; onerous regulations can reinforce incentives for firms to remain small and informal.
- Improving property rights can reduce uncertainty, encourage transactions, and expand access to credit by strengthening control of collateral.
- Compliance and enforcement:
  - Noncompliance is higher where regulations are more stringent and where enforcement is more lax.
  - Reducing time and cost of regulations is necessary but insufficient; improving transparency and information availability is also important.
  - Overcoming the “culture of informality” and improving the quality and fairness of state institutions supports effectiveness of reforms.
- Effects on women’s participation:
  - Enterprise Surveys show participation rates for women as owners in formal firms generally range between 20 and 30 percent of firms.
  - Participation rates, both as owners and as workers, are generally highest among the smallest firms and in the informal sector.
  - Evidence suggests that as regulatory burdens fall, women’s participation as entrepreneurs tends to rise.
- Effects on firm size:
  - Small and medium enterprises (10 to 50 employees) are typically most affected by weaknesses in the investment climate.
  - Microfirms (10 or fewer employees) often stay below regulatory radar to avoid taxation and compliance costs.
  - Larger firms can often self-provision solutions (generators, foreign partners, retained earnings) and may obtain favorable tax treatments.
  - Small firms face higher proportional fixed costs and greater difficulties accessing finance; when small firms obtain finance, they benefit the most from it.

### Role of governance, implementation, and enforcement
- The associations between changes in Doing Business indicators and economic outcomes are stronger for countries that are well-governed (controlling for income).
- Changing de jure regulations has limited impact if there is a large gap between de jure and de facto regulations; better governance increases the credibility of reforms and the likelihood of firm responses.
- Enterprise Surveys evidence:
  - Table 2.1 (selected figures from Enterprise Surveys database):
    - Management time with officials (percent) and related indicators by income group or region:
      - Low income: Management time with officials 9.0; Firms that report regulations are interpreted consistently 47.5; Firms that believe courts will uphold property rights 52.25; Firms that make payments to “get things done” 7.5
      - Middle income: Management time with officials 10.6; Firms that report regulations are interpreted consistently 40.5; Firms that believe courts will uphold property rights 55.23; Firms that make payments to “get things done” 30.4
      - High income: Management time with officials 4.7; Firms that report regulations are interpreted consistently 53.3; Firms that believe courts will uphold property rights 70.9; Firms that make payments to “get things done” 23.0
      - East Asia and Pacific: Management time with officials 9.8; Firms that report regulations are interpreted consistently 56.1; Firms that believe courts will uphold property rights 69.44; Firms that make payments to “get things done” 49.6
      - Europe and Central Asia: Management time with officials 7.1; Firms that report regulations are interpreted consistently 40.8; Firms that believe courts will uphold property rights 50.3; Firms that make payments to “get things done” 38.3
      - Europe high-income: Management time with officials 3.4; Firms that report regulations are interpreted consistently 56.6; Firms that believe courts will uphold property rights 75.0; Firms that make payments to “get things done” 20.7
      - Latin America and Caribbean: Management time with officials 13.9; Firms that report regulations are interpreted consistently 34.0; Firms that believe courts will uphold property rights 49.2; Firms that make payments to “get things done” 20.2
      - Middle East and North Africa: Management time with officials 11.3; Firms that report regulations are interpreted consistently 47.4; Firms that believe courts will uphold property rights 60.7; Firms that make payments to “get things done” 26.0
      - South Asia: Management time with officials 10.8; Firms that report regulations are interpreted consistently 57.5; Firms that believe courts will uphold property rights 52.3; Firms that make payments to “get things done” 72.7
      - Sub-Saharan Africa: Management time with officials 7.9; Firms that report regulations are interpreted consistently 42.0; Firms that believe courts will uphold property rights 56.5; Firms that make payments to “get things done” 44.6
  - Respondents in middle-income countries were least likely to report that regulations were enforced consistently.
- Good governance:
  - When governance is improved by one standard deviation, infant mortality declines by two-thirds and incomes rise about threefold in the long run.
  - Improvements in governance have been observed across regions from 1998 to 2007 in areas such as voice and accountability, political stability, regulatory quality, rule of law, and control of corruption.

### Moving regulatory reform forward — priorities and policy recommendations
- Three areas of emphasis for future efforts:
  - Simplifying regulations while ensuring adequate protection of public interests:
    - The goal is not to remove regulations but to ensure they address underlying public interests.
    - Streamlining requirements can improve compliance and close loopholes or exceptions that benefit only a few firms.
    - Setting standards too high can discourage firms from trying to comply.
  - Strengthening the broader governance and enforcement environment:
    - Building capacity for enforcement through hiring and training officials can improve enforcement; external assistance can help.
    - Reforming implementation to reduce discretion in how regulations are applied can lower uncertainty and address firm concerns.
  - Expanding inclusive public-private dialogue in shaping reform priorities:
    - Private sector members can identify constraining issues, but their preferences must be weighed against public interests.
    - Tools like Enterprise Surveys can highlight constraints and variation across actors (by size, location, gender).
    - Inclusive dialogue helps target reform priorities and better ensure results.

*Source: GLOBAL MONITORING REPORT 2009, Chapter 2 (PDF: _gmr - chAPTER 2).*

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### Financial development and the MDGs
- Evidence (country, cross-country, experimental) shows access to financial services contributes significantly to reaching the MDGs through income growth and direct effects on poverty, undernourishment, health, education, and gender equality.
- Empirical findings:
  - If India had increased its average ratio of private credit to GDP from 19.5 percent to 25 percent (the mean value for developing countries), its average real annual GDP per capita growth would have accelerated by an additional 0.6 percentage point per year over the period 1960–95.
  - A 10 percentage point increase in the private- credit- to- GDP ratio reduces poverty ratios by 2.5 to 3 percentage points.
  - A 1 percentage point increase in the private- credit- to- GDP ratio has been shown to reduce the prevalence of undernourishment by 0.22–2.45 percentage points.
  - The ratio of private credit to GDP is around 16 percent in low- income countries compared with 88 percent in high- income countries.
- Relative impacts (box 2.4): analysis compares impacts of private credit (% of GDP) and GDP per capita on several MDG indicators in 2015, assuming past growth trends of 1.6 and 1.1 percentage points per year, respectively.

### Financial sector development and private sector / firm growth
- Finance is important for investment, domestic and international trade, and other private sector activities; access to finance affects firm growth directly.
- Enterprise Surveys and World Business Environment Survey evidence:
  - SMEs in low- income countries rank finance as an especially high barrier for growth.
  - Firms identifying finance as a constraint are more likely to experience slow output growth.
  - Specific financing problems—high interest payments, collateral requirements, bank paperwork and bureaucracy, and bank corruption—significantly constrain firm growth.
  - Access to finance emerges consistently as one of the most important and robust underlying factors constraining firm growth; lack of finance can make other barriers more binding.
- Small firms benefit most from financial development in terms of entry and relaxed growth constraints; at any given level of financial development, smaller firms have more difficulty accessing external finance than larger ones.
- Cross- country data show innovation as an important channel: a survey of some 17,000 firms in 47 countries found firms’ use of external finance was significantly associated with more innovation, an effect stronger when access to finance came from foreign banks.

### Dimensions of financial sector development and access patterns
- A country’s financial sector development should be assessed on four dimensions—size, access, efficiency, and stability.
- Main finding: while the size (depth) of the financial sector has grown in many countries, access generally remains weak.
- Access statistics and patterns:
  - In most of Sub- Saharan Africa, fewer than 20 percent of households have an account in a financial institution.
  - That figure is less than 50 percent in many other developing countries.
  - In almost all developing countries in Sub- Saharan Africa, more than 50 percent of firms complain about lack of finance.
- Financial depth does not guarantee access: comparisons of household use of financial services with financial depth indicators show a positive but imperfect correlation; economic development does not guarantee access to finance for households.
- Nonbank finance remains much less important in most developing countries, though it can improve price and availability of longer-term credit to smaller borrowers; bond finance and external equity require strong investor rights and can lower costs for large firms with spillovers to smaller firms.

### Microfinance: reach and limits
- Thirty years after Grameen Bank, microfinance has matured but lacks scale:
  - Only in eight countries do microfinance borrowers account for more than 2 percent of the population.
  - In a sample of 124 microfinance institutions (MFIs) in 49 countries representing around half of all microfinance clients around the globe, only half were profitable and self- sustainable.
  - Targeting: 85 percent of the poorest 93 million MFI clients are women.
- Operational characteristics cited for microcredit success include dynamic incentives, repayment in public, forced savings, notional collateral, and targeting of women; some of these have not yet been fully evaluated.
- Policy implication: shifting focus to building inclusive financial systems and improving access for all under-served groups is likely to have a greater impact on development outcomes than focusing narrowly on microcredit alone.

### Risks, regulation, and lessons from the subprime mortgage market
- Financial sector development carries risks; the recent financial crisis highlights the need for appropriate regulation and supervision to ensure financial system soundness and stability.
- Evidence from the U.S. subprime mortgage market:
  - Rapid expansion accompanied by a decline in credit standards and excessive risk taking; higher delinquency rates and insolvency problems at major mortgage lenders followed.
  - Analysis of over 50 million individual mortgage applications shows credit expansion led to decreased lending standards (declining denial rates and rising loan- to- income ratios) not explained by fundamentals, and areas with faster application growth experienced sharper increases in delinquency rates.
  - Changes in market structure (more competitors) correlated with larger declines in denial rates, suggesting local lenders cut standards when facing competition from new entrants.
  - Lax regulation and supervision, influenced in part by lobbying by subprime firms, contributed to poor lending outcomes.
  - Although home ownership rose (home ownership ratio hit an all- time high in 2006), the subsequent rise in delinquencies and foreclosures raised questions about the welfare implications of the mortgage credit boom and the opaqueness and risks of complex financial instruments.
- Recommendation: design regulation and supervision in developing countries to allow for increased access in a sustainable manner; better assessment of lending quality and overall exposures and risks of the financial system is needed.

*Source: GLOBAL MONITORING REPORT 2009, Chapter 2 (_gmr - chAPTER 2).*

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### Financial access, ownership, and competition
- Evidence shows state- owned banks can reduce overall financial sector development, leading to lower efficiency and reduced access to financial services; the performance of state- owned banks in subsidized lending aimed at enhancing access has tended to be poor as well.
- Governments with greater checks and balances and better institutional development might be expected to have more positive results from state ownership.
- Opening to foreign banks improves access for SMEs by creating competitive pressures; firms in countries with more foreign banks are less likely to rate high interest rates and access to long- term loans as major obstacles.
- An analysis of borrowers’ perceptions across 36 countries finds that financing obstacles are lower in countries with higher levels of foreign bank penetration.
- Even if internationalization of financial services can introduce more volatility, in the long run the gains in access are significant.

Key points on supply and demand mismatches
- Supply-side constraints: providers do not target the poor and small firms because of problems of information, high transaction costs, and poor enforcement of contracts.
- Demand-side constraints: poor households and smaller firms often lack financial sophistication and literacy, do not trust financial institutions, do not realize their need for financial services, or think products offered are ill suited to their needs.
- Technological improvements and competition are broadening the access frontier, evidenced by rapid expansion of specialized microfinance firms.

Policy implications and cautions
- Providing the private sector with the right incentives and good prudential regulations is key; competition that fosters access can also result in reckless expansion if not accompanied by proper regulatory and supervisory frameworks.
- International regulations designed to minimize bank-failure costs should not inadvertently penalize small borrowers.
- Direct government interventions can play a role, but experience shows government- owned subsidized credit programs have generally not been successful; partial credit guarantees have been the direct intervention mechanism of choice for SME credit in recent years.
- Many government schemes lack thorough economic evaluations; net effects in cost- benefit terms remain unclear.
- Political economy constraints: powerful incumbents may block reforms that threaten their interests; defining the access agenda more broadly to include the middle class can help mobilize greater political support.

### Information, legal, and physical infrastructure for financial access
- In low- income countries, information infrastructures generally matter most for access, while enforcement of creditor rights is more important in high- income countries.
- In relatively underdeveloped institutional environments, procedures enabling individual lenders to recover on debt contracts (for example, those related to collateral) are much more important in boosting bank lending than procedures such as bankruptcy codes that resolve conflicts between multiple claimants.
- Institutional reforms that can lower transaction costs include:
  - Establishing credit registries or issuing individual identification numbers to establish credit histories.
  - Reducing costs of registering or repossessing collateral.
  - Introducing legislation to underpin leasing, factoring, electronic finance, and mobile finance.
- Encouraging openness and competition, including internationalization of financial services, helps incumbents seek profitable ways to provide services to previously excluded segments and speeds adoption of access- improving technologies.
- Achieving full gains from competition and internationalization often requires convergence of regulations and legal and other institutional infrastructure.

Key statistics and indicators from figures referenced
- Figure 2.9 underscores large deficiencies today in availability of credit information across regions (private credit bureau coverage and credit information index vary greatly by region).

### Infrastructure, growth, and the MDGs
- Infrastructure is critical for private sector development and economic growth; electricity and transport play recognized roles in economic activity, yet services in many developing countries remain inadequate.
- Infrastructure directly affects MDG 7 (to “halve, by 2015, the proportion of the population without sustainable access to safe drinking water and basic sanitation”) and indirectly influences most MDGs via household opportunities.
- Each year 529,000 women die from childbirth complications; most of these deaths could be prevented through timely access to essential childbirth- related care.
- Construction of an all- weather road in Morocco increased school attendance by girls from 28 percent to 68 percent and improved education quality through teacher recruitment and reduced absenteeism.
- Every year 1.8 million people die from diarrheal diseases, including cholera; improved water supply reduces diarrheal morbidity by 21 percent, improved sanitation by 37.5 percent.

Macro and regional impacts
- Raising infrastructure services of all Sub- Saharan countries to the level of the regional leader Mauritius could add 2.2 percentage points to per capita growth.
- Catching up to the level in the Republic of Korea would raise economic growth per capita by up to 2.6 percent percentage points per year.
- In rural Ethiopia, improvements in access to quality roads increased consumption growth by an estimated 16 percent and reduced poverty by 7 percent.
- After upgrading a highway system connecting the four largest cities in India, firms reported fewer transportation obstacles, a reduction in average input inventories by about a week’s worth of production, and greater flexibility in choosing primary input suppliers.

Recent financing and remaining gaps
- World Bank financing for the infrastructure sectors totaled $33 billion for the 2004–07 period, compared with $22 billion over the preceding four- year period.
- Large global infrastructure gaps remain: 1.1 billion people are without safe access to water, 1.6 billion without electricity, 2.4 billion without sanitation, and more than 1 billion without access to telephones.
- South Asia and Sub- Saharan Africa confront the largest gaps in essential infrastructure for households and businesses.

### Technology, telecommunications, and Africa’s infrastructure deficit
- Technological progress has reduced costs in some infrastructure: installing a satellite telephone cost $60,000 in the mid- 1990s, whereas in 2002 it cost between $2,000 and $4,000.
- Mobile usage and information services have increased exponentially in all developing regions; in Africa infrastructure improvements added nearly one percentage point to per capita economic growth between 1990 and 2005, almost entirely attributable to advances in penetration of telecommunication services.
- The region with the greatest infrastructure challenge remains Sub- Saharan Africa.

Selected statistics on Africa’s widening deficit (Table 2.3, normalized units)
- Paved road density: 3 (Sub- Saharan Africa) versus 11 (Other)
- Total road density: 3 (Sub- Saharan Africa) versus 7 (Other)
- Mainline telephone density: 10 (Sub- Saharan Africa) versus 78 (Other)
- Mobile telephone density: 55 (Sub- Saharan Africa) versus 76 (Other)
- Internet density: 2 (Sub- Saharan Africa) versus 3 (Other)
- Generation capacity: 3 (Sub- Saharan Africa) versus 26 (Other)
- Electricity coverage: 16 (Sub- Saharan Africa) versus 41 (Other)
- Improved water: 60 (Sub- Saharan Africa) versus 72 (Other)
- Improved sanitation: 34 (Sub- Saharan Africa) versus 51 (Other)

Additional context on Africa’s infrastructure challenges
- Geography and population patterns (low economic density, many landlocked countries) make transport networks and power grids more expensive to build and maintain.
- National power systems in 21 of 48 Sub- Saharan countries fall below the minimum efficient scale of 200 megawatts for electricity generation; as a result, operating costs are nearly double those found in the continent’s larger power systems.
- In 1970 Sub- Saharan Africa had almost three times as much generating capacity per million people as South Asia; by 2000 South Asia had almost twice the generation capacity per million people as Sub- Saharan Africa.
- In 1970 Sub- Saharan Africa had twice the mainline telephone density of South Asia, but by 2000 the two regions had drawn even.

*Italic: IMF — GLOBAL MONITORING REPORT 2009, chAPTER 2*

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### Infrastructure gaps and investment needs
- Developing countries require around $900 billion each year (7–9 percent of their GDP) both to maintain existing infrastructure and to undertake new projects, yet only half of the required amount is actually spent.
- By one estimate, the investment effort implicit in catching up would require as much as 15 percent of GDP in the low- income countries of East and Central Africa.
- Trade-off: more money spent on infrastructure means less money for health, education, and other services.
- A feasible upgrading of the transnational road network in Sub- Saharan Africa would increase overland trade from $10 billion annually to $30 billion; over a 15- year period the region would gain $250 billion in additional intra- African trade at a cost of $32 billion (upgrade and annual maintenance).
- The Africa Infrastructure Country Diagnostic (AICD) finds addressing existing system inefficiencies would almost halve the $10.6 billion in 2003, or 2.6 percent of GDP.

### Impact of inadequate infrastructure on firms and growth
- Enterprise Surveys show infrastructure is one of firms’ biggest problems; in African countries the infrastructure constraint on doing business is associated with 40 percent lower firm productivity.
- On average, African firms report losing more than 5 percent of their sales as a result of frequent power outages; this rises to 20 percent for informal sector firms unable to afford backup generation facilities.
- Businesses in East Asia, South Asia, and Sub- Saharan Africa report numerous power outages per month; a majority of firms in low- income countries generate their own power.
- Figure measures (from Enterprise Surveys database): percent of firms with own generator and value lost due to power outage (% of sales) vary widely across countries and regions (examples in text include OECD, East Asia & Pacific, Europe & Central Asia, Latin America & Caribbean, Middle East & North Africa, South Asia, Sub-Saharan Africa, and country examples such as South Africa, China, Brazil, Mexico, Peru, Indonesia, Cameroon, Senegal, Philippines, Kenya, India, Nigeria, Tanzania, Bangladesh, Dominican Republic).

### The lack of financial resources and hidden costs
- Estimates of required future spending are large and unmet; financial constraints are a major constraint but not the only challenge.
- Three key components of hidden costs affecting infrastructure:
  - Poor bill collection rates,
  - Excessive losses from inefficient operations or theft from networks,
  - Tariffs set below cost-recovery rates.
- These hidden costs averaged 4.4 percent of GDP in 2003 in the power sector in Europe and Central Asia, down from double that figure in 2000.
- Hidden costs in the gas and water sectors were 1 percent and 1.2 percent of GDP respectively in 2003, with little change since 2000.
- In Bangladesh and the Indian state of Orissa, an estimated 45 percent of generated power is lost to technical and commercial inefficiencies.
- In Indonesia, the government’s explicit subsidy to PLN reached 1.4 percent of GDP in 2005 (not including additional subsidy from below- cost fuel for generation).

### Tariff underpricing and subsidy design
- Underpricing of utility services is not limited to low- income countries; even upper- middle- income countries have significant portions of water services priced too low to cover basic O&M costs.
- Table 2.4 (as reported): Water and electricity services are often underpriced — percent
  - Water tariffs / Electricity tariffs
  - Country income level
  - High850083
  - Upper-middle3939029
  - Lower-middle37222723
  - Low8933125
- Subsidies to state- owned enterprises can fill revenue gaps left by low tariffs but often compromise the fiscal position of low- income countries.
- On the demand side, price subsidies are often poorly targeted and regressive; smallest consumers (the poorest) receive relatively less of the total subsidy than richest consumers because the richest consume greater quantities.
- An in-depth study of 22 cases of quantity-based subsidies in water and electricity across developing regions concluded that not a single case achieved a progressive, or even neutral, subsidy distribution.

### Governance, corruption, and transport inefficiencies
- Corruption in infrastructure reduces available funds and returns from investments; infrastructure sectors’ characteristics create opportunities for corruption and concealment.
- Construction firms pay considerably more than the average firm in bribes, focusing on bypassing regulation and obtaining government contracts.
- One study finds corruption to be the most important explanatory factor behind variation in efficiency among 80 electricity distribution companies in Latin America.
- Example: trucking wares from Bamako to a port in Ghana (~2,000 kilometers) costs about $200 in bribes to various officials; the nearly 50 stops delay the journey by almost four hours.
- Example: on a 637 kilometer trip from Medan to Meulabooh in Aceh, drivers typically passed through 27 checkpoints and paid a total of $23 in bribes, representing roughly 13 percent of the cost of the trip and more than the wages of those driving the truck.
- Findings highlight the governance agenda: strategic medium- and long-term planning, transparent procedures for project identification and implementation, public expenditure reviews, budget tracking, and improved SOE governance and financial management (benchmarking, corporatization, internal governance improvements).

### Closing the financing gap in Sub-Saharan Africa (AICD 2009)
- Table 2.5 (annual US$ (billions)):
  - Financing gap +40
  - Reallocate spending across categories –8
  - Raise capital budget execution –3
  - Reduce operating inefficiencies –3
  - Improve cost recovery –4
  - Remaining gap +22

### Private participation in infrastructure (PPI)
- Private investment rose in the 1990s, peaking at about $140 billion in 1997; telecommmunications absorbed 46 percent of investment and energy 33 percent.
- During 2000–05, sources of infrastructure investment:
  - 70 percent from governments and state- owned enterprises,
  - 22 percent from the private sector,
  - 8 percent from ODA.
- In IDA- eligible countries, only 10 percent of infrastructure was funded from the private sector in 2007.
- Private investment flows fell after the Latin American and Asian crises and corporate scandals but resurged in recent years; 2007 investment commitments were 10 percent higher in real terms than the previous peak 10 years earlier.
- For infrastructure projects reaching financial closure in 1998–2006, institutional investors mobilized about 44 percent of private funds.
- Emerging-market ("South- South") investors (Brazil, China, India, Philippines, Russian Federation) have increased their role.
- Evidence on efficiency gains from private operators (global study, water and electricity distribution):
  - 12 percent increase in residential connections for water utilities,
  - 19 percent increase in residential coverage for sanitation services,
  - 45 percent increase in electricity bill collection rates,
  - 11 percent reduction in distribution losses,
  - Significant improvements in labor productivity.
- Table 2.6 (overview of Sub-Saharan Africa PPI experience) — sector highlights:
  - ICT: Mobile telephony — Over 90 percent of countries have licensed multiple mobile operators; extremely beneficial. Fixed telephony — 60 percent of countries have undergone divestiture of SOE telecom incumbent.
  - Power: Power generation — 34 IPPs provide 3,000 MW of new capacity investing US$2.5 billion; Power distribution — 16 concessions and 17 management or lease contracts in 24 countries (problematic, one quarter of contracts cancelled before completion).
  - Transport: Airports — 4 airport concessions, investing <US$0.1 billion; Ports — 26 container terminal concessions, investing US$1.3 billion; Railroads — 14 railroad concessions, investing US$0.4 billion; Roads — 10 toll road projects investing US$1.6 billion.
  - Water: 26 transactions, mainly management or lease contracts; problematic with 40 percent of contracts cancelled before completion.
- Prospects: private participation likely to continue in many areas but models need adaptation; hybrid models involving the local private sector are emerging.

*Source: chAPTER 2, GLOBAL MONITORING REPORT 2009 (as contained in the provided content).*

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### Infrastructure crisis and developmental costs
- Previous crises forced postponement of long-gestation infrastructure projects and significantly retarded economic growth, leading to what is often referred to as the “lost decade” for many Asian countries.
- Indonesia’s total public investment in infrastructure dropped from about 7 percent of GDP in 1995–97 to 2 percent in 2000; private investment fell from 2.5 percent of GDP to 0.09 percent during the same period.
- Subsequent rehabilitation of facilities is exponentially more costly than regular maintenance, slowing economic development and hindering poverty reduction.
- In Latin America, some 50 percent of the fiscal adjustment in the 1990s was borne by cuts in public infrastructure spending.
- One study estimated that lack of infrastructure investment in the 1990s in Latin America reduced long-term growth by an estimated 1–3 percent.
- The top five recipients of private infrastructure investment—Argentina, Brazil, China, Malaysia, and Mexico—received 49 percent of all private investment in 1984–2004. Less than 10 percent of private investment has been made in low-income countries.

### Crisis effects on private infrastructure financing and project implementation
- Most private infrastructure projects in developing countries are facing financing constraints in reaching closure and rolling over debt.
- The rate of closure on such projects was already 15 percent lower in the latter half of 2008 than in the same period in 2007.
- Around 80 percent of infrastructure spending in the developing world is done by the public sector, making attention to the public sector’s ability to maintain needed infrastructure spending critical in the short run.
- Governments with deep financial markets are turning to domestic debt, but many countries face severe constraints.

### Crisis response instruments and institutional priorities
- The World Bank is strengthening existing instruments to help maintain spending in the infrastructure sectors and is establishing new facilities to assist governments and private investors to refinance infrastructure projects.
- Through its Infrastructure Recovery and Assets (INFRA) Platform initiative, the World Bank response aims at both addressing immediate needs and strengthening an asset base for the future; it includes protection of existing infrastructure assets and preservation of the project pipeline and priority projects.
- Jointly with the International Finance Corporation’s Infrastructure Crisis Facility, resources are being made available to support and refinance public-private partnerships at risk.
- Extraordinary circumstances increase the risk of misallocation of resources and corruption; combining quick decisions with sound policy solutions is necessary to avoid inefficient spending.
- The crisis can be used as an opportunity to strengthen legal, regulatory, and contracting frameworks.

### Policy directions and recommendations going forward
- Mobilize additional funds for capital and maintenance spending while tackling inefficiencies in current spending.
- Make the revenue gap in infrastructure delivery transparent and review tariff policy to address the often regressive nature of tariffs.
- Use explicit performance or output-based subsidies to provide essential services to the poor where cost-covering tariffs are economically undesirable or politically difficult.
- Target subsidies better to achieve either lower subsidy budgets or larger discounts or transfers for the poorest people.
- Continue efforts to strengthen the regulatory and institutional framework for public-private partnerships, including attention to fiscal issues related to such partnerships.
- Sustain development solutions that integrate long-term environmental concerns into policies and programs.
- Leverage the crisis to promote a “green recovery”: investment in green technology and energy-efficient infrastructure can provide short-run stimulus and support longer-term environmental goals.

### Role of climate change, sustainable development, and regional collaboration
- Climate change will increasingly drive the infrastructure agenda, with the private sector playing a key role in innovation and financing.
- The World Bank plans to expand instruments aimed at fostering clean technology, renewable energy, and energy efficiency; the newly established Climate Investment Funds aim to support innovative solutions in mitigation and adaptation.
- Regional collaboration can lower unit costs and pool scarce resources; examples include regional power markets, regional gas trading, regional transport corridors, and regional telecom agreements.
- Political challenges remain significant for regional projects, including aligning national objectives and policies and harmonizing regulations.

### Leveraging the private sector in human development (introductory themes)
- The Millennium Development Goals (MDGs) emphasize human development outcomes; five of the eight MDGs have health, nutrition, and education results as key indicators.
- Governments have a special responsibility to ensure attainment of primary education, basic maternal and child health and nutrition, and control of communicable diseases, but the private sector is extensively involved in delivering services that address these MDGs.
- Private actors can provide innovation and rapidly expand access to services, supplementing government efforts.
- Working with the private sector poses challenges to ensure quality among providers not directly under government control and requires new mechanisms of incentives and accountability.
- Governments need capacities to design, manage, and regulate mixed strategies, including skills in contracting, monitoring, and evaluation, to maximize rewards and minimize risks when engaging nongovernment partners.

*Source: chAPTER 2, GLOBAL MONITORING REPORT 2009*

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### Framework for thinking about the private sector’s role in health and education
- The private sector is defined negatively as the “nongovernment” or “nonstate” sector; a key distinguishing concept is ownership.
- The private sector includes for- profit (proprietary enterprises, recognized or not, and publicly listed companies) and not- for- profit organizations, as well as individuals and community groups operating outside government ownership, such as traditional practitioners.
- Three premises guide analysis:
  - Start with a focus on outcomes and monitorable MDG indicators.
  - Be pragmatic rather than normative or ideological; strategies that improve outcomes sustainably are desirable regardless of provider.
  - Draw on available evidence where possible and recognize that more evidence is needed.
- Chapter structure: review concepts; examine current patterns of government and private roles in MDG-related service delivery; review “new vehicles” (insurance, input production/distribution, charitable financing); conclude with opportunities and challenges for leveraging private roles.

### Normative views of the private sector’s role
- Three value-based positions frequently underpin views on private sector regulation:
  - Market-oriented: favor limited government role focused on improving market functioning; private sector should deliver goods/services with private demand and little market failure.
  - Rights-based: argue all citizens have a right to health and education; state is responsible to define and ensure these rights, often justifying comprehensive government financing and delivery (but rights-based arguments do not always imply exclusive government provision).
  - Pragmatic/results-oriented: avoid strong normative positions; focus on what works to improve health, learning, and equity. This chapter adopts the pragmatic position while recognizing theory and evidence about market success/failure and government strengths/weaknesses.

### How government and private sector roles relate
- Economic theory highlights public goods and externalities (example: environmental control of disease vectors requires government action because benefits are nonexcludable).
- Immunization and primary education have externalities; market failure often justifies government financing and provision, especially in poor countries.
- As national incomes rise, private demand and private delivery capacity (e.g., immunization) may increase, allowing governments to shift toward financing and regulation.
- Real-world arrangements are typically mixed rather than purely public or purely private. Performance depends more on organizational capacities, incentives, governance, and accountability than on ownership alone.

### Matrix of financing and delivery arrangements (discussion and examples)
- Actors can act alone:
  - Government-financed and -provided (publicly owned hospitals and schools).
  - Private-financed and privately delivered (out-of-pocket payments, private clinics and schools).
- Mixed arrangements are widespread:
  - Governments purchasing services from private providers (contracting out, vouchers).
  - Private payers funding services in government facilities (user charges, donations).
- Table references in source: table 3.1 (displaying examples) and table 3.2 (government capacities needed). Note: some table text in source contains repeated “77” artifacts.

### Implications for government action to improve outcomes
- To support pluralistic financing and provision, governments must enhance capacities to design, regulate, and manage finance and delivery arrangements different from “business as usual.”
- Governments need a base capacity to “buy” services (design, bid, award, monitor, evaluate contracts, voucher schemes).
- Risks: without adequate capacities, governments may achieve worse outcomes by engaging private providers.
- Key policy questions for pragmatic approach:
  - Is there a large private sector presence that could contribute to access and quality?
  - Can private operators be effective partners?
  - Should government focus on policy, finance, and regulation rather than service delivery?
  - Can government service delivery be made to work well at acceptable cost?
  - Can government carry out new tasks by partnering with the private sector?
- Leveraging private sector can be attractive when:
  - Contracts/purchasing with private providers can enhance MDG achievement at cost equal to or lower than comparable government cost.
  - Private funds complement limited public financing to increase overall funding available for health or education.
  - Private roles allow flexibility, innovation, risk-sharing, and testing of new delivery strategies.

### Private financing of health care — key statistics and patterns
- A widely used summary measure is the share of total health expenditure that comes from private sources.
- Across country income levels:
  - Private spending accounts for more than half of all health expenditures in about 47 percent of low- income countries.
  - Private spending accounts for more than half of all health expenditures in about 51 percent of lower- middle- income countries.
- In low- income countries, private health spending is almost entirely out- of- pocket because private insurance and employer benefits are limited.
- Out-of-pocket spending as a share of private health expenditure:
  - In 80 percent of low- income countries, out- of- pocket spending makes up over 50 percent of private spending.
  - In 93 percent of middle- income countries, out- of- pocket spending makes up over 50 percent of private spending.
- Source of these estimates in the source: World Bank 2008 (figure 3.1 referenced).

### Private delivery of services related to the health MDGs — evidence highlights
- Demographic and Health Surveys (DHS) are an excellent data source for MDGs 4 and 5 (maternal, reproductive, and child health). DHS supported by USAID have been carried out in 80 countries over the last 23 years, with many countries having multiple surveys.
- DHS findings (summary from source):
  - Shares of private formal and informal health care provision vary widely across countries.
  - Many surveys report private provision at more than 50 percent of MDG-related maternal, reproductive, and child health services in recent years.
  - Levels are high across indicators: sources of contraception, most recent delivery, and treatment of childhood infections.
  - The informal sector supplies a very significant share of privately provided services.
- Tuberculosis (TB) engagement:
  - A recent survey of 22 countries with a high TB burden asked whether “all,” “some,” or “none” of government and nongovernment providers are involved in TB case-finding and referral and treatment with approved drug regimens.
  - Responses indicate private providers participate in TB-related activities at about the same rate as public providers and are involved in both case-finding and referral as well as treatment with approved TB drug regimens.
  - Lonnroth, Uplekar, and Blanc (2006) report positively on experiences in 15 different initiatives involving private for- profit providers in government-initiated and -supported TB control programs.
- Trend analysis using multiple DHS rounds:
  - It is possible to examine whether the share of private use of maternal, reproductive, and child health services has increased, decreased, or remained unchanged in countries with multiple DHS observations (figure 3.4 referenced).

*Source: chAPTER 3, GLOBAL MONITORING REPORT 2009 (extracted content provided).*

### chAPTER 3

### chAPTER 3

### Private sector role in health: utilization and equity
- DHS surveys (Supon 2008) show a large role for nongovernment providers in delivering services related to the health MDGs across Sub- Saharan Africa and South Asia (Figures 3.2–3.5).
- Private providers (formal and informal) account for a large share of service use for: diarrhea treatment, fever/cough treatment, institutional delivery, and contraception.
- Equity findings from DHS asset-quintile analysis:
  - The two lowest asset quintiles (bottom 40 percent) do not systematically use private providers less than the general population; points above the 45 percent line in Figure 3.5 indicate higher private use by the poor for some services.
  - Government providers are favored by the poor mainly as a source of contraception.
  - Informal private providers play a large role for the poor; the poor rely significantly on the informal sector.
- Trend evidence:
  - Little significant change in private provider shares for maternal, reproductive, and child health over recent DHS surveys in many low- income countries.
  - The only clear reduction in private shares has been for delivery (shift from private informal/traditional birth attendants and home delivery toward qualified institutional deliveries in government facilities).
- TB service provision (Figure 3.3, WHO 2009): responses indicate a mix of government and nongovernment involvement in referral and treatment across 22 high- burden countries (categories in figure: Government providers give TB referral; Nongovernment providers give TB referral; Government providers treat TB; Nongovernment providers treat TB).

### Quality of care: evidence and concerns
- Evidence on quality of care across government and nongovernment providers is limited and mixed:
  - General pattern: nongovernment providers are less likely to follow standard diagnostic and treatment protocols for communicable diseases and more likely to use a wider range of less- preferred and more costly diagnostic and treatment actions.
  - Disease-specific assessments have reported low quality in private-sector care in several settings (examples cited in source text include TB in India; sexually transmitted diseases in South Africa; antimalarial distribution in Kenya).
  - Problems documented: providers poorly trained, inadequate drug stocks, low quality drugs, unsound prescribing (risking antimicrobial resistance).
- Patient-perceived quality often favors private providers for attributes such as flexible working hours, convenient location, better equipment, more confidential care, attentiveness to patients, and greater availability of physicians and pharmaceuticals.
- Few systematic, representative comparative studies exist; limited evidence suggests some private provision can be superior in particular settings (examples: antenatal care in Tanzania; care for sexually transmitted diseases in Uganda).
- Policy implication: governments and donors should be much more concerned about quality of health care—especially risks associated with informal private providers—and recognize that effective regulation is difficult in weaker states and less accessible locations.

### Innovations to leverage private capacity in health (Box 3.1)
- 1. Chiranjeevi Yojana, Gujarat, India (public- private contracting with private obstetricians):
  - Launched: public- private partnership in 2005 (pilot in five districts, expanded to whole state).
  - Result: raised institutional deliveries from 38 percent to 59 percent.
  - State population covered: 55 million.
  - Provider participation: obstetricians providing delivery care through the government program increased from 7 (public sector) to more than 800 (private sector) in less than two years.
  - Additional cost to state: estimated to be around 3.5 percent of the total health budget.
  - Funding: provided by both the state and the central governments.
  - Contract features: contracts for assisting a given quantity of births, significant advance payment, regular replenishment of payments, small sum to women for transportation, contract value included estimate for a share of complex deliveries including caesarian sections.
- 2. Child and Family Welfare (CFW) stores, HealthStore Foundation, Kenya (social franchising of low- cost pharmaceuticals):
  - Model: private network of micro pharmacies and clinics targeting common killer diseases; franchising with uniform systems, training, monitoring, inspections, centralized procurement via MEDS and other suppliers.
  - Outlets: network has 17 drug outlets and 48 basic medical clinics in operation.
  - Customer base: primarily low- or middle- income women and children subsisting on agriculture; outlets located in market centers of approximately 5,000 people.
  - Financing/operations: central subsidies allow lower prices and predictable quality; franchisor can revoke franchise for noncompliance; CFW included in National Malaria Strategy and supported ACT pilots.
- 3. Contracting out with NGOs in post- conflict states (Cambodia and Guatemala):
  - Cambodia randomized trial (starting 1999): three delivery models compared—(1) contracting out (contractors given full line responsibility), (2) contracting in (contractors work within MOH system), (3) government provision.
  - By 2003, contracted districts outperformed government districts in coverage, quality of care, utilization by the poor, and out- of pocket expenditures—especially for the poor.
  - Guatemala (launched 1997): three methods—(1) direct contracting out, (2) mixed method (NGOs act as financial/administrative managers for government providers), (3) traditional method (strengthened government health posts).
  - Results: mixed model delivered significantly better results for many key health indicators for women and children; direct contracting out showed higher productivity but was more costly, partly because directly contracted NGOs were assigned to more distant and difficult- to- access areas.
- Cross-cutting lesson: innovative arrangements require new government capacities to design, implement, regulate, and evaluate; increased access may require more inputs and financing mechanisms (purchasing, higher volume, subsidies).

### Private sector role in education: financing and enrollment
- Private participation in education has increased dramatically over the past two decades across many countries and income groups.
- Private spending on education (UNESCO, EdStats) shows examples where private sector contributes sizable shares of total education expenditures:
  - In some countries, such as Jamaica, Peru, and Zambia, the private sector contributes more than 40 percent of the total expenditures in education.
  - In several others—such as Chile, Haiti, Kenya, Paraguay, and the Philippines—the percentage fluctuates between 30 and 40 percent.
- Private enrollment shares have increased in many regions (Figure 3.7 and Table 3.3):
  - Private enrollment shares at the primary level increased substantially in many regions, particularly Sub- Saharan Africa, the Middle East, and Southeast Asia.
  - At the secondary level, private enrollment shares typically remain higher than at the primary level.
- Selected country private enrollment shares, 1990 and 2006 (Table 3.3; percent):
  - Burkina Faso (Sub-Saharan Africa): Primary 1990 8.6 2006 13.7; Secondary 1990 41.1 2006 38.8
  - Cameroon (Sub-Saharan Africa): Primary 1990 25.2 2006 22.5; Secondary 1990 42.8 2006 28.2
  - Guinea (Sub-Saharan Africa): Primary 1990 2.4 2006 22.0; Secondary 1990 4.1 2006 15.9
  - Mauritania (Sub-Saharan Africa): Primary 1990 0.7 2006 7.4; Secondary 1990 2.5 2006 16.8
  - Indonesia (East Asia & Pacific): Primary 1990 17.6 2006 15.9; Secondary 1990 49.2 2006 43.5
  - Philippines (East Asia & Pacific): Primary 1990 6.7 2006 7.8; Secondary 1990 36.4 2006 20.4
  - Thailand (East Asia & Pacific): Primary 1990 9.6 2006 16.7; Secondary 1990 16.2 2006 15.0
  - Poland (Europe & Central Asia): Primary 1990 0.1 2006 1.9; Secondary 1990 0.4 2006 2.8
  - Turkey (Europe & Central Asia): Primary 1990 0.6 2006 1.8; Secondary 1990 2.8 2006 2.3
  - Chile (Latin America & Caribbean): Primary 1990 38.8 2006 52.9; Secondary 1990 49.0 2006 53.7
  - Costa Rica (Latin America & Caribbean): Primary 1990 4.7 2006 7.0; Secondary 1990 7.9 2006 9.8
  - Mexico (Latin America & Caribbean): Primary 1990 6.2 2006 8.1; Secondary 1990 16.6 2006 15.0
  - Peru (Latin America & Caribbean): Primary 1990 12.6 2006 17.6; Secondary 1990 14.6 2006 24.3
  - Jordan (Middle East & North Africa): Primary 1990 22.9 2006 31.2; Secondary 1990 6.1 2006 17.0
  - Morocco (Middle East & North Africa): Primary 1990 3.6 2006 7.3; Secondary 1990 2.7 2006 5.2
  - Syria (Middle East & North Africa): Primary 1990 3.5 2006 4.3; Secondary 1990 5.6 2006 4.0
  - Tunisia (Middle East & North Africa): Primary 1990 0.5 2006 1.2; Secondary 1990 12.0 2006 4.7
  - Bangladesh (South Asia): Primary 1990 15.2 2006 38.9; Secondary 1990 NA 2006 NA
  - Nepal (South Asia): Primary 1990 4.7 2006 14.7; Secondary 1990 NA 2006 NA
  - Pakistan (South Asia): Primary 1990 14.0 2006 35.0; Secondary 1990 NA 2006 NA
  - OECD average b: Primary 1990 10.1 2006 11.8; Secondary 1990 17.6 2006 17.9
- Note on Table 3.3: the table shows most recent data available within two years of the year indicated; comparability across countries is limited because of different definitions of education expenditure, but comparability within each country across years is assured.

*Source: Excerpts from chAPTER 3, GLOBAL MONITORING REPORT 2009 (Supon 2008; DHS survey data; WHO 2009; UNESCO EdStats).*

### chAPTER 3

### chAPTER 3

### Private sector roles in education financing and provision
- Private schools enroll "more than two- thirds of all students" in some countries.
- In some countries (example given: Chile) the government subsidizes only some students who attend private schools.
- Several African countries have different types of nonpublic schools, including:
  - government- subsidized independent schools (for example, in the Gambia);
  - partially subsidized mission or religious schools (for example, in Lesotho);
  - partially subsidized community- organized schools (for example, in Kenya).
- Elsewhere, public schools are supported financially by the private sector in the form of user fees or corporate sponsorship (for example, in Pakistan).
- A larger share of education is provided privately in low- income countries than in high- income countries (figure 3.8).

### Evidence on impacts of private provision and financing
- Cross- country correlational evidence (Woessmann 2009) shows:
  - publicly operated schools deliver lower test scores than privately operated schools do;
  - publicly funded private schools are associated with higher academic achievement than publicly operated institutions.
  - The evidence is correlational and "needs to be treated with caution."
- Country studies provide better evidence and the cases discussed illustrate delivery modalities and government capacity issues.
- Overall empirical findings are mixed:
  - The private sector is an efficient vehicle to increase access.
  - Effects on quality of education are unclear.
  - Empirical evidence on the effects of vouchers on educational outcomes outside the United States is "small, though growing."
  - The most rigorous studies show voucher programs can lead to:
    - significant improvements in access to secondary schooling for relatively poorer students;
    - significant increases in test scores;
    - higher likelihood that voucher recipients complete secondary school, enter university, postpone marriage, and increase earnings.
  - Without targeting or special measures, positive effects of vouchers on quality may be the result of sorting (best students leaving public schools for private institutions).
- Contracting programs can increase supply of schooling and enrollments (examples: Côte d’Ivoire and Bangladesh).

### Case examples of systemic involvement and contracting
- Systemic involvement: government strategy to form alliances with the private sector where the private sector typically provides a large share of education and the public sector is the financier.
  - Chile (universal voucher system):
    - Introduced in the 1980s.
    - Private enrollment rates increased from "32 percent of all enrollments in 1985 to 51 percent in 2005."
    - "More than 20,000 new private schools were created."
    - "Today 94 percent of all schools in Chile receive voucher funding, and 36 percent of those schools are private."
    - Evidence on impact is mixed: some studies find positive test score effects; others find no differences between private independent schools and public institutions; evidence of sorting exists.
    - Chile showed significant improvements in reading performance in PISA between 2000 and 2006.
  - Bangladesh (contracting and subsidy models):
    - Government subsidizes "almost 90 percent of the base teacher salaries in community- managed, not- for- profit, nongovernment secondary schools."
    - Stipends to support girls’ enrollment in secondary school:
      - Scholarships cover the cost of tuition of girls’ secondary education.
      - Girls receive a stipend expected to cover "50 percent of school fees."
      - Outcomes of the stipend program:
        1. significant increase in girls’ secondary enrollment, "from 442,000 in 1994 to more than 1 million in 2001";
        2. significant reduction in the enrollment gap between girls and boys;
        3. significant reduction in the proportion of 13- to 15- year- old married girls, "from 29 percent in 1992 to 14 percent in 1995."
      - Assessed weakness: low correlation between enrollment increases and improvement of completion and attainment rates at the secondary level.
  - Côte d’Ivoire (private sponsorship/subsidy program):
    - Government gives a payment to lower- and upper- secondary private schools for each public student they enroll.
    - Schools must be "chartered" and placement depends in part on educational performance.
    - Number of students in the private school sponsorship program: "223,000 in 2001, up from 116,000 in 1993."
    - Research shows the subsidy system is progressive and promotes enrollment increases among the poor.
- Public- private partnerships for specific programs:
  - Concession schools in Bogota, Colombia:
    - Introduced in 1999.
    - Concession schools are public but managed by private school operators whose students have a record of scoring above average on the national secondary exit examination for five consecutive years.
    - "In Bogota, 25 public schools are run as concession schools under 15- year contracts."
    - Empirical results from a rigorous impact study show:
      - significant increases in math scores;
      - significant increases in reading scores;
      - significant reductions in dropout rates;
      - some evidence of competition effects on nearby public schools.
  - The Punjab Education Foundation Assisted Schools Program, Pakistan:
    - Established in 1991 and restructured in 2004 into an autonomous institution.
    - Funded by the government of Pakistan’s Punjab province and headed by a 15- member, government- appointed board of directors, the majority of whom are from the private sector.
    - Approximately "33 percent of children ages 6 to 10 who attend school are enrolled in private schools."
    - Program components: vouchers, teacher training, and financial incentives to schools for improved academic performance.
    - A preliminary evaluation shows evidence of large positive impacts on the number of students, teachers, classrooms, and teaching materials.

### New vehicles for private sector contributions beyond provision
- New roles include financing of government and nongovernment actions, introduction of new service delivery organizations and strategies, and increased visibility in policy development and planning.
- Growing international philanthropy:
  - The world’s foundations contributed an estimated "$4.5 billion to work in the development field in 2005."
  - Foundations from the United States contributed "$3.8 billion" of that amount.
  - Prior to the current crisis, philanthropic contributions were increasing.
- The Bill and Melinda Gates Foundation (global health focus):
  - Founded "14 years ago" (relative to source).
  - "Has committed over $11.6 billion since 1994 for global health programs."
  - Largest grants to date:
    - "US$750 million for the Global Alliance for Vaccines and Immunization";
    - "US$500 million for the Global Fund to Fight AIDS, Tuberculosis, and Malaria";
    - "US$200 million each to the Aeras Global TB Vaccine Foundation and the Foundation for the National Institutes of Health."
  - Major founder of the Global Alliance for Improved Nutrition.
- Distribution of U.S. foundation support to international activities (Foundation Center):
  - "43 percent of U.S. foundation support to international activities went to health programs, while 6 percent was earmarked for education."
- Private financing vehicles in health:
  - Risk- pooling arrangements such as health insurance and community financing/micro- insurance.
  - Preker, Scheffler, and Bassett (2007) found private health insurance accounts for a very small share of health expenditures in developing regions.
  - Private health insurance schemes in low- income countries primarily cover urban and more affluent populations and higher- cost services involving hospitalization.
  - Community financing and micro- insurance schemes:
    - Typically small- scale schemes initiated by NGOs with community linkages.
    - Coverage generally low, with exceptions such as the “Mutuelles” in Rwanda and West Africa.
    - Some schemes purchase insurance coverage through formal private sector insurance providers, linking micro- insurance with formal providers.
    - Growing interest in linking micro- insurance with rural banking and micro- credit.

### Opportunities and risks of private engagement
- Potential benefits of private philanthropic contributions to education:
  1. Additional resources could ease resource constraints and be targeted to under- served areas or populations.
  2. Private management expertise can generate efficiencies in implementation and provide lessons for public service delivery.
  3. Targeted support to research and analysis at primary and secondary levels can aid governments that lack resources and expertise.
  4. Strategic private involvement may redirect education policy toward adoption and expansion of successful privately developed initiatives.
- Risks and challenges:
  - Uncoordinated and isolated actions of private donors may not generate systemic impacts and may benefit only selected groups.
  - Risk of overcrowding resources in certain countries or programs.
  - Flow of private resources may substitute rather than supplement public budgets, creating incentives for governments to withdraw funding from public education or public health problems or to shift funding between levels within the sector.
  - Withdrawal of resources from basic education may reduce service quality and raise equity concerns.
  - Privately funded interventions risk lack of sustainability once initial grants are exhausted.

*Source: _gmr - chAPTER 3*

### chAPTER 3

### chAPTER 3

### Private sector roles in health and education
- Private actors (multinational and domestic) are increasingly engaged in financing and delivering services relevant to the MDGs, with the health sector having a large corporate element.
- Private financing and provision already constitute substantial shares of service delivery in many countries, including rural areas and among the poor.
- Governments remain central to MDG achievement but are being called on to: design, manage, and evaluate new public-private approaches; ensure coordination and regulation across a wider range of actors; and ensure technical quality and financial protection.
- Technical quality requirements in health place large demands on state capacity to regulate nongovernment partners; the capacities required to regulate the nonstate sector differ from those for managing public providers.
- Public financing combined with private provision (for example, contracting out) is a promising approach that can expand access and ensure quality, but it places new managerial demands on governments.

### Corporate and philanthropic financing: illustrative examples (Box 3.6)
- Debswana (a 50/50 partnership between the diamond mining company De Beers Group and the Botswana government) staffs and fully funds the Jwaneng Mine Hospital and HIV Clinic:
  - Opened in 2003.
  - In 2005, 30,000 free outpatient appointments were recorded.
  - By 2007, 3,100 patients were being treated with antiretroviral drugs.
  - Program expanded to support four satellite clinics offering HIV testing.
- Advanced Market Commitment (AMC) to accelerate pneumococcal vaccine development and production:
  - Six donors (Canada, Italy, Norway, the Russian Federation, the United Kingdom, and the Bill and Melinda Gates Foundation) have committed $1.5 billion.
  - AMC is results-driven: payments only for vaccines that work well in the poorest countries.
  - AMC is demand-led: developing countries must want to purchase the vaccine.
  - AMC funds subsidize purchase of pneumococcal vaccines that tackle strains most prevalent in low-income countries in Africa and Asia and that meet a required public health efficacy level.
  - When requirements are met and recipient countries want to buy, the manufacturer may enter a supply agreement for vaccines at a subsidized price in exchange for a commitment to provide an established volume level, at an established price, annually for 10 years.
  - Once private subsidy funds are depleted, the manufacturer must continue to provide the product at an established retail price to meet continuing demand.

### New private providers, NGOs, and scale (including Box 3.7 on BRAC)
- International nonprofits active as large-scale service providers include Medecins san Frontieres, Save the Children, and the Program for Appropriate Technology in Health.
- Nongovernment domestic service providers are growing in scale, including faith-based providers in Africa (for example, the Africa Religious Health Assets Program), the Africa Medical and Research Foundation in Kenya, and BRAC in Bangladesh.
- BRAC (Bangladesh Rural Advancement Committee):
  - Launched in 1972; is the largest nonprofit organization in the developing world, employing 125,000 staff.
  - Funded through philanthropic support, income-generating enterprises, and borrowings.
  - Reaches more than 110 million people in Africa and Asia.
  - Offers preventive, curative, and reproductive health services to more than 92 million people.
  - Helped immunize 82 percent of children under the age of two in Bangladesh.
  - Trained women in 13 million households in how to treat diarrhea.
  - Pioneer of DOTS for treating TB.
  - BRAC Education Program:
    - Graduated 3.9 million students from its primary schools (70 percent of whom are girls).
    - Graduated 2.3 million from its pre-primary schools.
    - Nearly 1.6 million children currently enrolled in its 54,000 schools.
  - Operates in Afghanistan, Liberia, Pakistan, Sierra Leone, Southern Sudan, Sri Lanka, Tanzania, and Uganda.
  - In 2002 launched microfinance and related programs in Afghanistan and is the largest microfinance provider in Afghanistan, disbursing more than $96 million in small loans.
  - In 2007, BRAC’s annual program expenditure was $485 million.
  - Used revenues from its microfinance program and pro-poor social enterprises, combined with debt, to self-finance 80 percent of the budget for its programs in Bangladesh.

### New models of public-private partnership and technology in education (including Box 3.8 and JEI/GEI examples)
- World Economic Forum–linked initiatives:
  - Global Education Initiative (GEI): supports national education reforms, ICT in education, and demonstration models in Egypt, Jordan, Rajasthan (India), and the West Bank and Gaza.
  - Jordan Education Initiative (JEI):
    - Launched in 2003 at the World Economic Forum; under the patronage of Jordan’s Queen Rania.
    - Has over $25 million in contributions.
    - Implemented the Discovery Schools program, reaching over 50,000 students in 100 Discovery Schools using pedagogic methods centered on computers and digital/web-based technologies.
  - Global Education Alliance (GEA) in Rwanda:
    - Created in 2007 by the World Economic Forum in collaboration with the Education for All Fast-Track Initiative.
    - Intended to bring private sector support and technical expertise for ICT integration in education.
    - Aims to coordinate public and private stakeholders and contribute business expertise to enhance service delivery and management.
    - Partners include AMD, Cisco, Edelman, Intel, and Microsoft; Rwanda is testing One Laptop per Child technology.

### Coordination, new global initiatives, and system-level mechanisms
- International initiatives and coordination mechanisms:
  - United Nations’ High Level Task Force on Innovative Financing for Health Systems (launched in September 2008) seeks innovative mechanisms to raise additional funds to strengthen health care delivery systems and will review opportunities for private sector roles in raising and channeling resources to countries.
  - International Health Partnership Plus (IHP+) introduces mechanisms at country level to improve coordination among public and private sector partners and to reduce transaction costs through joint acceptance of common national plans and reporting standards.
- Donor/private funder engagement is expanding to support innovative, results-driven, and demand-led approaches that link private financing to public health goals.

### Lessons learned and policy implications (from country experience)
- Principal lessons highlighted:
  - Health care financed and delivered solely by government has produced both strong and disappointing outcomes; shortcomings often result from insufficient funding, poor governance, and institutional failings—addressing these is essential.
  - Totally private financing and delivery can make services physically available but often do not deliver good quality and may impose a large burden on users; private provision tends to favor populations who can pay and can exploit information asymmetries to the detriment of consumers.
  - Mixed models (public financing with private provision) have shown that good health outcomes and financial protection are possible and can be efficient compared with government delivery; however, high-quality monitoring and evaluation are still limited.
  - Reverse partnerships (private financing and public provision) are also expanding and warrant attention.
  - Governments must focus on ensuring safety, quality, equity, and financial protection when leveraging private sector contributions.
  - Coordination among international and domestic public-private partnerships can:
    - Increase the flow of resources to the education sector and allow governments to reach goals more quickly.
    - Bring international expertise and best practice to the sector and make better use of domestic capacity.
    - Promote research.
    - Bring partners together with a common vision and set of goals.
  - Better coordination can:
    - Avoid isolated actions and improve chances of systemic impact.
    - Reduce overcrowding of resources in certain areas.
    - Complement education budgets.
    - Address sustainability issues proactively.
- Governments and development partners should support innovative private-sector initiatives while avoiding duplication, reducing competition for scarce system resources (like trained personnel), and ensuring safeguards for quality and equity.

### The way forward
- World is past the midpoint to the 2015 MDG target date; progress on many indicators is not on track and progress on health- and education-related MDGs needs acceleration.
- Given existing nonstate contributions to financing and service delivery, leveraging the private sector should be an essential element of pragmatic policies and programs for achieving the MDGs.
- Actions recommended or implied:
  - Strengthen government capacity to design, manage, regulate, coordinate, and evaluate public-private models.
  - Invest in mechanisms to ensure technical quality and financial protection when engaging nongovernment providers.
  - Support innovations that mobilize private financing in support of public health goals while reducing transaction costs and improving country-level coordination.
  - Encourage technology partnerships and contracting-out where feasible to expand access and improve cost-effectiveness.

*Source: chAPTER 3, GLOBAL MONITORING REPORT 2009*

### chAPTER 3

### chAPTER 3

### Private sector role and government capacity
- The distinction between formal and informal private providers captures whether service providers have formal (usually legally recognized) qualifications.  
- Formal providers are in most cases qualified practitioners of allopathic medicine including both paramedics and physicians; in some countries traditional practitioners could be classified as formal providers where traditional medicine is formally recognized.  
- Informal providers are typically legally unqualified or semiqualified and community based, such as traditional birth attendants or unlicensed village doctors and drug sellers.  
- Patients and communities may not understand the formal–informal distinction and may recognize many different types of providers without reference to this formal–informal distinction.  
- Leveraging the private sector role to achieve the human development MDGs does not imply a lesser government role but a changed and expanded one: government must strengthen internal governance and accountability mechanisms, supervision of contracts and funding sources, and capacity to regulate nongovernment providers.  
- The private sector can contribute substantially and in diverse ways to human development, but it is not a panacea and can both cause problems and offer solutions.  
- The world needs to mobilize all its tools on the road to 2015.

### Selected references and organizational examples (listed in source)
- Examples of private actors and organizations referenced: www.msf.org; www.savethechildren.org; www.path.org; www.arhap.uct.ac.za/; www.amref.org; www.internationalhealthpartnership.net/taskforce.html; www.measuredhs.com; www.basixindia.com.

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### Scaling Up Aid to Poor Countries — Overview of crisis impacts and aid needs
- The global financial crisis is increasingly affecting developing countries; low-income countries are particularly vulnerable to shrinking export markets, sharply lower commodity prices, and declining growth rates.  
- About 40 percent of developing countries are highly exposed to the poverty effects of the crisis; a majority of them are in Sub- Saharan Africa.  
- The crisis is depressing fiscal revenues while social, infrastructure, and other public spending needs are rising; more than half of low-income countries could see a decline in revenue-to-GDP ratios in 2009.  
- Most low-income country governments will not be able to make up budget shortfalls by borrowing domestically or internationally, placing delivery of basic services and countercyclical spending at risk.  
- Donors have a key role to protect gains on the MDGs through support of social safety nets and key development programs; concerns are growing that aid could be cut as advanced economies implement stimulus packages.

### Vulnerability Fund proposal and rationale
- The Vulnerability Fund proposed by World Bank President Robert Zoellick would require developed countries to pledge 0.7 percent of their stimulus packages for developing countries to assist vulnerable countries to protect critical spending.  
- By supporting growth in developing countries, additional aid would be an investment in global economic recovery.

### Aid effectiveness and the changing aid landscape
- The need for predictable and timely aid aligned with country priorities and focused on results has taken on added urgency in the downturn.  
- At the High-Level Forum on Aid Effectiveness in Accra, donors and partner countries recognized the need to implement more reforms faster to meet the 2010 Paris Declaration targets and to embrace all development actors—bilateral, multilateral, private sector, global funds, and civil society.  
- Aid from private actors, particularly foundations and businesses, has grown rapidly but may be interrupted by the crisis; private participation brings new resources and innovative approaches.  
- The Heavily Indebted Poor Countries (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI) have lowered debt burdens, creating fiscal space for poverty-reducing spending in many HIPCs; however, the crisis could jeopardize gains in debt sustainability and constrain the scope for fiscal stimulus in many countries.

### Rising needs: food crisis, financial crisis, and fiscal pressures
- Food crisis: the sharp rise in food prices between 2005 and 2008 pushed an estimated 160 million to 200 million more people into extreme poverty; food prices have moderated but underlying global food supply issues persist.  
- The Comprehensive Framework for Action draws on the World Bank’s New Deal on Global Food Policy and combines immediate actions to increase food availability with longer-run steps to strengthen food security.  
- Preliminary estimates of the global incremental requirement for improving food security range from $25 billion to $40 billion a year.  
- The High-Level Task Force on the Global Food Crisis urged donors to double food assistance and to raise the share of agriculture in official development assistance (ODA) from 3 percent to 10 percent within five years.  
- Financial crisis: IMF estimates that about a quarter of low-income countries will face a fall in revenue of more than 2 percentage points of GDP in 2009.  
- World Bank preliminary findings: only 13 percent of low-income countries for which data are available will run a budget surplus in 2009 (compared with 28 percent in 2008 and 34 percent in 2007).  
- Budget deficits as a share of GDP are expected to rise on average by 4.7 percentage points in Africa and by 2 percentage points in Europe and Central Asia.  
- Most low-income countries have little maneuvering room to secure more borrowing or raise revenues; limited fiscal capacity will constrain their ability to maintain basic services or undertake countercyclical increases in spending.

### Gaps between aid commitments and delivery; ODA trends
- Net ODA from Development Assistance Committee (DAC) members moved sharply higher in 2008 to $119.8 billion, an increase of 10.2 percent in real terms.  
- Donors’ ODA share in gross national income (GNI) rose from 0.28 percent in 2007 to 0.30 percent in 2008 but remained below the 0.33 percent level reached in 2005.  
- At Gleneagles and subsequent summits, G-8 donors and others promised to double aid to Africa by 2010—an increase of $25 billion a year compared to 2004 amounts—and to increase overall aid by $50 billion a year by 2010.  
- Measured against these pledges, net ODA would need to increase by $29 billion in 2004 terms by 2010; the DAC estimates the needed increase could be about $20 billion by 2010 given possible GNI devaluation.  
- Country programmable aid (CPA) — program and project aid and technical assistance — rose at an average rate of 4 percent per year since 2004; substantial annual increases in CPA will be needed in 2009–10 to meet the 2010 aid targets.  
- Two years before 2010, prospects of reaching aid targets are uncertain.

### Aid to Sub-Saharan Africa and infrastructure financing
- Net ODA flows to Sub- Saharan Africa rose from $26 billion to $40 billion during 2004–06, but fell back to $34 billion in 2007.  
- Excluding debt relief, development assistance rose from $22 billion in 2004 to $31 billion in 2007.  
- Country programmable aid grew from $19 billion in 2004 to about $23 billion in 2008.  
- Preliminary data show net bilateral ODA from DAC donors to Sub-Saharan Africa was relatively unchanged in real terms in 2008 at $22.5 billion.  
- Only one-third of DAC members achieved a 50 percent or larger increase in their assistance to Sub-Saharan Africa; most donors, including some large ones, are lagging in scaling up aid to the region.  
- Significant growth in aid—25 percent per year—will be needed in 2009–10 to meet donor commitments to provide an additional $25 billion per year in aid to Africa by 2010.  
- Donors are beginning to step up support for infrastructure investment in Africa; the bulk (nearly 70 percent) of bilateral ODA to Sub- Saharan Africa is allocated to social sectors, with infrastructure at about 10 percent.  
- Under the Infrastructure Consortium for Africa during 2005–07, consortium members increased concessional and nonconcessional infrastructure commitments to Africa by over 75 percent, to $12.4 billion; bilateral ODA increased from $2.2 billion to $3.5 billion and multilateral ODA rose from $2.9 billion to $5.9 billion.  
- Non- DAC donors such as China and India are expanding roles, particularly in energy and infrastructure, but increased focus on infrastructure should not reduce resources for health and education.

### Forward aid plans, CPA shortfall, and non-DAC donors
- The DAC Survey on Aid Allocation Policies and Indicative Forward Spending (response rate to the 2009 survey was 85 percent) provides perspective on planned CPA flows.  
- Preliminary survey findings suggest a nearly $30 billion shortfall in the CPA needed to meet the 2010 targeted increase in total net ODA.  
- CPA to Africa increased by $6 billion from 2004 to 2008, and an additional $3 billion is planned during 2009–10; assuming debt relief and humanitarian assistance remain at long-term levels, CPA to Africa would need to rise by about $17 billion for donors to meet the 2010 aid targets for the region.  
- Non- DAC official donors’ aid continued on a strong upward trend: ODA for donors reporting to DAC was $5.6 billion in 2007, an increase of 7.5 percent over 2006 levels and 50 percent over 2004 volumes.  
- Arab donors provided $2.6 billion in assistance in 2007, led by Saudi Arabia with $2 billion.  
- ODA from non- DAC OECD countries was $2.1 billion in 2007, nearly double the 2004 level, with the Republic of Korea and Turkey providing well over $500 million each.  
- Among nonreporters, Brazil’s assistance was estimated at $437 million, India’s development cooperation expenditure was about $1 billion, and the Russian Federation’s an estimated $210 million.  
- Official numbers are not available for China’s aid, but estimates place this amount at about $1.4 billion in 2007.

*Source: GLOBAL MONITORING REPORT 2009 (chapter material supplied in source PDF).*

### chAPTER 4

### chAPTER 4

### Sovereign wealth funds and new sources of development finance
- IMF estimates that $2 trillion to $3 trillion is held in sovereign wealth funds (SWFs) and that this amount could reach $6 trillion to $10 trillion by 2013.
- Governments establish SWFs for several reasons: stabilization funds, savings funds for future generations, reserves investment corporations, development funds, and contingent pension reserve funds.
- SWFs currently invest mainly in industrial countries but are beginning to invest in emerging markets, especially in Asia; portfolio diversification could motivate investments in other developing countries, including those in Africa.
- The International Finance Corporation’s Sovereign Funds Initiative leverages IFC contributions of up to $200 million to raise $1 billion from sovereign saving pools—SWFs, superannuation funds, pension schemes—to invest in equity in “frontier emerging markets” in Africa and Latin America and the Caribbean.

### The global financial crisis is jeopardizing ODA prospects
- Donor commitments and recent pledges:
  - At the London G-20 summit, donors reiterated commitment to meeting ODA pledges made at Gleneagles.
  - Ireland announced a cut of nearly €100 million (a 10.6 percent decline) in its 2009 aid budget.
  - Japan promised recently (at Davos) to augment its ODA by about 20 percent over the next three years.
- Historical and empirical evidence on aid during crises:
  - Aid is relatively resilient to mild, short-duration recessions and is not always procyclical with respect to donor output (example: U.S. ODA increased in 2001 and 2002 despite an eight-month recession in 2001).
  - Longer and deeper crises have produced large contractions in aid (examples: Finland, Norway, and Sweden cut aid significantly after their 1991 financial crises).
  - Finland’s economy contracted by 11 percent and its aid by 60 percent following its financial crisis; Finland’s aid had yet to surpass precrisis levels in the period discussed.
  - Norway and Sweden recovered to precrisis aid levels in six to nine years.
- Fiscal determinants of aid:
  - Using a sample of 15 donor countries for 1980–2004, a 10 percent increase in the ratio of public sector debt to GDP is associated with a decline of 0.012 percent in the share of aid in GDP in the short run and of 0.023 percent in the long run.
  - European Union countries’ foreign aid is more sensitive to fiscal conditions than aid in other developed countries.
  - Advanced-country governments poised to take on large amounts of debt from stimulus packages and bank bailouts could severely affect ODA in the medium term.
- Public support for aid:
  - Public support for helping poor countries has consistently been above 70 percent during 1983–2004.
  - A French poll in October 2008 found over three-quarters favored maintaining or increasing aid despite the financial crisis; only a fifth favored decreasing aid.
  - Public attitudes are influenced by religiosity, attitudes toward poverty, attention to international news and events, and trust in others.

### Indirect impact of the crisis on aid flows (Box 4.1)
- Aid values depend on donor currencies; exchange rate movements since the crisis have lowered the value of aid measured in U.S. dollars.
- Specific currency impacts and estimates:
  - Euro was worth 18 cents less in February 2009 than its average for 2008; if European aid levels stay constant ($32.8 billion in 2007, nominal, from Euro Area bilateral donors and the European Commission), this exchange rate adjustment translates to a $3.9 billion loss in the value of aid.
  - Pound sterling is worth 38 cents less, depressing U.K. aid contributions by $1.1 billion.
  - The SDR has fallen by 8 cents against the dollar: a $1.4 billion loss (used as a proxy denomination for multilateral funds).
  - Among major donors, only the yen has appreciated, pushing up the value of Japan’s contribution.
  - Aggregated across all donors, exchange rate movements could depress the value of aid by nearly $8 billion.
  - Considering aid types less sensitive to currency movements (technical cooperation, debt relief, certain humanitarian assistance), a rough estimate of aid wiped out by currency movements in 2009 is $3 billion to $5 billion.

### Dependence of poor countries on aid and remittances
- In nearly 50 percent of IDA-eligible countries, the share of ODA is over 10 percent of recipient GNI; over four-fifths of these highly aid-dependent countries are in Sub-Saharan Africa, and several are fragile states.
- Aid can constitute a large share of fiscal revenues in poor countries (example: aid accounted for around 40 percent of budget revenues in Ghana and Mali in 2006).
- Remittances are important for many poor countries; after a sharp deceleration in 2008, remittance growth is projected to turn negative in 2009, with Sub-Saharan Africa potentially seeing a downturn of at least 4.4 percent.
- Several countries could simultaneously face both an aid squeeze and a remittance squeeze, with varying impacts depending on country circumstances.

### Aid effectiveness agenda: improving aid delivery
- The 2005 Paris Declaration generated momentum, but concrete actions are lagging; OECD 2008 monitoring survey shows a lack of progress toward Paris targets with considerable variation across indicators and countries.
- Areas of progress include improved quality of country systems for managing public funds, untying aid, and coordination of technical cooperation.
- The Accra Agenda for Action (Third High-Level Forum on Aid Effectiveness, Accra 2008) identified three key challenges:
  - Strengthening country ownership of development priorities by broadening policy dialogue to include parliaments, local governments, and civil society organizations; enhancing capacity of developing countries to lead and manage development processes; and increasing use of developing-country systems as a first option.
  - Building effective and inclusive partnerships embracing bilateral, multilateral, private sector, global funds, and civil society actors; addressing South-South cooperation and non-DAC official donors; reducing fragmentation and further untying aid.
  - Delivering and accounting for development results: aligning donor monitoring with country information systems, strengthening national statistical capacity, jointly determining conditions for aid disbursements based on national development strategies, and increasing medium-term predictability (for example, three- to-five-year forward spending plans).
- Predictability and volatility of aid:
  - On average only 45 percent of aid is delivered on schedule (OECD monitoring survey).
  - Disbursements of budget aid differed from projected amounts by about 30 percent on average in IMF staff macro-programming exercises.
  - Aid flows are more volatile than other forms of revenue and output; uncertainty of aid flows diminishes their true value. One study estimates the cost of volatile flows at 15–20 percent of the total value of aid.
- Use of country systems:
  - A study finds a strong relationship between the quality of country public financial management (PFM) systems and donors’ use of those systems.
  - When donors have a larger presence in a country, they are more likely to use country systems, strengthening country ownership and PFM capacity.
  - For Africa, progress on untying aid is similar to the global average, but improvement is much slower in most other areas, including weaker performance on use of country systems and donor coordination of missions and country studies relative to the 2005 baseline.

### Mobilizing private aid for development and trends in private giving
- Private actors—foundations and businesses—are increasingly important in development finance, bringing new resources and innovation and a business approach to development assistance.
- Reported private international giving:
  - Private international giving reported to the OECD climbed to $18.6 billion in 2007, representing more than a 25 percent increase over 2006 levels.
  - The 2007 increase was driven by a surge in private giving in the United States, which accounts for 65 percent of the total; Canada accounted for 7.5 percent, Germany 7 percent, the United Kingdom 3.7 percent, and Australia 3.6 percent.
- Reporting gaps and higher estimates:
  - Corporations are not included in OECD-reported figures and some countries do not provide reports; underreporting is substantial according to the Hudson Institute.
  - The Hudson Institute estimates U.S. private international giving by foundations, corporations, educational institutions, religious organizations, and private and voluntary organizations was $36.9 billion in 2007—three times the $12.2 billion reported in OECD results for the United States.

*Source: chAPTER 4, GLOBAL MONITORING REPORT 2009*

### chAPTER 4

### chAPTER 4

### Private giving: scale, composition, and recent trends
- U.S.-based companies and corporate foundations contributed around $2.3 billion annually in 2006 and 2007 for international development assistance.
- About two- thirds of this amount was provided in the form of goods and services rather than as cash.
- The industry with the largest international donations was the pharmaceutical sector—10 pharmaceutical companies reported contributing $1.5 billion internationally in 2007.
- The European foundation sector grew: the number of public-benefit foundations increased by more than 54 percent between 2001 and 2005.
- Based on a 2007 survey by the European Foundation Centre, European foundations gave $607 million in 2005.
- U.S. foundations: over 72,000 grant-making private and community foundations in the United States contributed an estimated $5.4 billion in 2007.
- The growth in international giving since 2002 is dominated by the Bill and Melinda Gates Foundation:
  - International grants by the Gates Foundation: $2 billion in 2006 and $2.4 billion in 2007.
  - International grants by the Gates Foundation exceed the combined international grants of the next 14 largest foundations.
  - Share of international giving in total foundation giving rose from 13.8 percent in 2002 to 22 percent in 2006 (with Gates accounting for most of the growth).
  - Without the Gates Foundation the share would have grown from 11 percent to 13 percent over the same period.
- A substantial part of private funding to developing countries targets health; support in education and relief efforts has also increased.

### Under-counting and measurement gaps in private grants
- Private giving is undercounted in official measures:
  - Reported versus estimated grants in 2007 (US$ (billions)):
    - United States: Reported 12.2; Estimates 36.9
    - United Kingdom: Reported 0.6; Estimates 4.1
    - France: Not reported; Estimates 1.03
    - Norway: Not reported; Estimates 0.25
    - Spain: Not reported; Estimates 0.36
- Figure indicators (as reported):
  - Grants by private voluntary agencies as reported to the OECD: 2002 = 8.8; 2006 = 14.8; 2007 = 18.6 (US$ (billions)).

### Philanthrocapitalism and corporate engagement
- New philanthropists apply business principles to development—problem solving, taking risks, fostering innovation, managing organizational structures, mobilizing media attention, and measuring success.
- Private engagement is particularly strong in health, education, humanitarian assistance, and climate change activities.
- Global corporate citizenship manifests as:
  - Philanthropic engagement (money, staff involvement in community projects).
  - Corporate social responsibility (adoption of minimum standards on labor, environment, transparency).
  - Enhancing development impact through R&D, supply chains, distribution networks.
  - Contribution to global public policy.
- Corporate contributions often go beyond CSR budgets and are difficult to capture in conventional giving measures.

### Impact of the global financial crisis on private aid
- The crisis is likely to have a significant negative effect on the ability of foundations, corporations, and individuals to make new and additional philanthropic commitments; effects depend on depth and duration.
- Short- and medium-term impacts are likely different; corporate profits declines and broad-based declines in financial assets reduce foundation endowments and returns.
- Despite the crisis, some large foundations planned to maintain or increase giving:
  - Gates Foundation announced increased total giving for 2009: $3.8 billion compared with $3.3 billion in 2008, representing 7 percent of its assets as opposed to about 5 percent in previous years.
  - This increase comes despite a 20 percent decline in the foundation’s assets in 2008.
  - MacArthur Foundation announced plans to maintain grant-making levels in 2009 despite significant endowment losses.
  - Hewlett Foundation announced grants will likely be 5–7 percent lower in 2009 than in 2008.
- Historical patterns:
  - From 1975 to 2007, during recessions in 1980, 1981–82, and 1990–91, grant making held up fairly well.
  - In the 2001 recession grants declined slightly, but far less than the 10 percent decline in the value of foundations’ assets during 2000–02.
  - Many foundations base grant budgets on a rolling average of asset values over two to five years, smoothing effects of asset price fluctuations.
  - Some foundations increased payout rates during the 2001 recession to support ongoing activities.

### Public-private partnerships and innovative financing mechanisms
- Private participation can increase focus on efficiency, performance, and innovation; partnerships mobilize private resources for public purposes in developing countries.
- Mechanisms include:
  - Front-loading bilateral development aid by issuing bonds (example: International Finance Facility for Immunization).
  - Deploying public resources to reduce private entry costs and risks via guarantees, risk-sharing facilities, and transactional support for PPPs.
  - Using carbon credits and Advance Market Commitments to mobilize private sector investment (e.g., vaccine development and production).
- Examples of innovative finance flows raised:
  - International Finance Facility for Immunization: $1.6 billion raised.
  - Advance Market Commitments: $1.5 billion pledged.
  - (PRODUCT)RED™: over $100 million.

### Financing the climate change challenge: needs and current flows
- Investment needs to stabilize greenhouse gas concentrations:
  - Additional investment required in developing countries: range from $150 billion to $200 billion per year over 2010–20.
  - Investment needs will rise to $400 billion per year on average beyond 2020.
  - Research, development, and demonstration of cleaner energy mechanisms would add anywhere from $10 billion to $100 billion a year to needed investment.
- Adaptation cost estimates are incomplete and preliminary:
  - World Bank: investment needs in developing countries at $4 billion a year over the next several years, rising to $37 billion a year.
  - Other estimates range from $8 billion a year to $86 billion a year by 2015.
- Current dedicated resources for climate change in developing countries (US$ (billions), table totals):
  - Mitigation:
    - Global Environment Facility, per year: 0.25
    - Carbon market, per year: 8+
    - Clean Investment Funds: 5+
    - Other, per year: 1+
    - Total, per year: ≈ 10
  - Adaptation:
    - Least Developed Country Fund, Special Climate Change Fund: 0.3
    - Adaptation Fund: 0.3–0.5
    - Clean Investment Funds: ≈ 0.5
    - Other, per year: 0.4+
    - Total, per year: ≈ 1
- Current climate-related flows are dominated by mitigation finance:
  - Mitigation flows are about $10 billion per year.
  - The Global Environment Facility cumulative commitment in mitigation and capacity building: over $2.4 billion (since the early 1990s).
  - Amounts available for adaptation are about $1 billion per year.
- Carbon markets and private investment:
  - Carbon market valuation in 2008: about $120 billion.
  - Clean Development Mechanism (CDM) transactions 2002–08: about 2.1 billion metric tons of carbon dioxide equivalent emission reductions, approximate value $24 billion.
  - Estimated clean energy investment benefiting from the CDM over 2002–07: $52 billion.

### Illustrative country and program examples (selected findings)
- Private actors in Sub-Saharan Africa contribute beyond funding—opportunities at local level, scaling and sustainability attention.
- Ghana: Standard Chartered Bank (Gh) shifted from CSR to sustainability embedded across business strategy.
- Ghana: AngloGold Ashanti’s Obuasi mine malaria program:
  - $1.3 million-a-year program.
  - Reduced malaria cases at the local hospital from 79,000 cases in 2005 to 21,000 in 2007.
  - Malaria incidence rate among employees dropped from 238 to 69 over the same period.
  - Program created 116 jobs.
- Sierra Leone: government mapping of private actor contributions to health care service delivery to improve allocation and knowledge sharing.
- Liberia: government leadership encouraging private actors to align contributions in finance and capacity building to the country poverty reduction strategy.

*Source: chAPTER 4, GLOBAL MONITORING REPORT 2009*

### chAPTER 4

### chAPTER 4

### Climate finance and adaptation funding
- Donors created several new bilateral funds to support climate change activities, primarily mitigation—pledges that total $2.7 billion a year over the next few years.
- Official flows are important for correcting market imperfections, building capacity, and targeting certain areas; issues include whether new climate-dedicated ODA is additional to other ODA commitments and the implications of proliferating specialized funds for effectiveness.
- Major multilateral initiative: Climate Investment Funds Initiative (established by the World Bank jointly with AfDB, ADB, EBRD, and IDB) to provide scaled-up funding for mitigation and adaptation.
- In September 2009, donors pledged $6.3 billion for the Clean Investment Funds: $4.3 billion for the Clean Technology Fund and $2 billion for the Strategic Climate Fund.
- Existing multilateral adaptation resources cited:
  - Adaptation Fund (established under UNFCCC process; box 4.4)
  - UNFCCC Special Funds administered by the Global Environment Facility: $180 million fund for least-developed countries and a $90 million Special Climate Change Fund
  - Global Facility for Disaster Reduction and Recovery: $40 million in fiscal 2008
- Estimated international investment in climate-friendly funds (public and private) in 2007: $9.5 billion; the size of the funds grew in 2008.

Box 4.4 — Adaptation Fund: design and financing
- Purpose: principal source of adaptation support for developing countries; finance country-driven adaptation projects and programs for eligible Kyoto Protocol developing-country parties.
- Primary financing source: a 2 percent share of proceeds of certified emissions reductions (CERs) issued by the Clean Development Mechanism (CDM) under the Kyoto Protocol.
- History: 2 percent share allocated in 2001.
- As of January 12, 2009, the Adaptation Fund held about 4.9 million CERs.
- UN Environment Programme’s Riscoe Center estimates the Adaptation Fund will receive about 30 million CERs by 2012.
- November (year implied in source) estimate: a total of 1.518 billion CERs would be issued by 2012, based on current CDM pipeline and historic approval rates.
- Governance: 75 percent of the Adaptation Fund Board is representatives from developing countries (including most affected countries); developing countries can submit proposals directly to the Board.
- Institutional roles: World Bank serves as trustee (trust fund management and monetization of CERs); Global Environment Facility serves as secretariat. Monetization of CERs will start in 2009.
- Source for box: Multilateral Trustee and Innovative Financing Group.

### Scaling up aid, debt relief progress, and financing gaps
- Monterrey consensus (March 2002) called for speedy, effective, flexible, and full implementation of the HIPC Initiative, to be fully financed through additional resources; in 2005 the MDRI supplemented HIPC.
- Progress:
  - More than four-fifths of eligible countries (35 out of 41) have passed the decision point and qualified for HIPC Initiative assistance.
  - Of those, 24 countries have reached the completion point and qualified for irrevocable debt relief under the HIPC Initiative and the MDRI.
  - Debt relief committed to the 35 post-decision-point HIPCs amounts to $124 billion (in nominal terms, excluding Côte d’Ivoire), including $52 billion under the MDRI.
  - On average this debt relief represents about 50 percent of these countries’ 2007 GDP.
- Impact on debt burdens and spending:
  - The debt burden of the 35 HIPCs is expected to be reduced by about 90 percent, compared to their pre-decision-point debt stock.
  - HIPCs’ debt service obligations have fallen on average by about two percentage points of GDP since the late 1990s, while poverty-reducing spending has increased on average by about the same amount during this period.
- Remaining challenges:
  - Completing implementation requires sustained international efforts; many of the 17 eligible, pre-completion-point HIPCs face non-economic challenges (war, conflict risk, weak policies and institutions).
  - Ensuring full debt relief from all creditors: smaller multilateral institutions, non–Paris Club official bilateral creditors, and commercial creditors account for about 25 percent of total HIPC Initiative costs but have delivered only a small share of expected relief so far.
  - Litigation by a number of commercial creditors has raised legal challenges to burden sharing.

### Instruments and operations for debt relief and management
- World Bank’s Debt Reduction Facility (DRF) for IDA-only countries has supported 24 operations in 21 countries and helped extinguish about $9 billion of commercial external debt.
- In the past 12 months (relative to the source), the DRF financed a debt buyback for Nicaragua and provided support for preparing buybacks for Liberia and Sierra Leone.
  - DRF-supported buyback for Nicaragua extinguished close to $1.4 billion of commercial external debt (97 percent of eligible claims) on terms consistent with full delivery of HIPC Initiative debt relief; this operation extinguished the claims of all litigating creditors.
- Debt relief savings accrue through time and generally constitute only a moderate share of net aid inflows to HIPCs; addressing HIPCs’ development needs requires higher new aid flows in addition to debt relief.
- New flows are needed for quick, targeted responses to emerging issues, such as the impact of the global crisis on poor countries.

### Debt sustainability assessments (DSAs) and joint IMF–World Bank tools
- Debt Sustainability Framework and DeMPA:
  - IMF and World Bank developed a comprehensive debt management tool kit for low-income countries.
  - DeMPA (Debt Management Performance Assessment) uses 15 indicators across six core functions of public debt management.
  - DeMPA application status (as of December 2008): applied in 20 low-income and 3 middle-income countries.
  - Early DeMPA results highlight common priority reform areas; operational risk management and cash flow forecasting and cash balance management appear as key weak spots; less than half of the sample complies with minimum requirements for sound governance and strategy development.
- DeMPA chart data (percent of countries with a score of C or higher):
  - Coordination with macroeconomic policies: 53
  - Borrowing and related financing activities: 23
  - Cash flow forecasting and cash balance management: 20
  - Governance and strategy development: 44
  - Operational risk management: 70
  - Debt records and reporting: 54
- DeMPA outputs feed into formulation of a debt management strategy consistent with long-term debt sustainability and into a reform plan.
- Donor-funded Debt Management Facility will support scaling up of World Bank–IMF work in strengthening debt management capacity and institutions.

### Results from low-income country debt sustainability analyses (Box 4.5)
- Between 2005 and March 2009:
  - 205 DSAs covering 68 low-income countries were completed; 173 DSAs were published.
- Risk ratings and shares:
  - About 29 percent of IDA-only countries have a low risk of external debt distress.
    - Share is higher for non-HIPCs: 42 percent (8 countries).
    - Post-MDRI countries: 36 percent (8 countries).
    - No pre-completion-point HIPC has a low risk rating.
  - About 32 percent of IDA-only countries have a moderate risk rating.
    - Post-MDRI countries: 45 percent (10 countries).
    - Non-HIPCs: 26 percent (5 countries).
  - 39 percent (22 countries) are rated at high risk or in debt distress.
    - Of these 22 countries: 12 are pre-completion-point HIPCs (80 percent of this country group), 6 are non-HIPCs (32 percent), and 4 are post-MDRI countries (18 percent).
- DSAs indicate debt dynamics are particularly sensitive to shocks to exports.

*Source: chAPTER 4, GLOBAL MONITORING REPORT 2009*

### 11. The share of infrastructure was 25 percent

### 11. The share of infrastructure was 25 percent

### Key findings and indicators
- The share of infrastructure was 25 percent in 1995.
- World trade moderated to 3.4 percent in 2008, from an average of 7.9 percent during 2003–07.
- The world trade volume in goods and services is projected to decline by 6.1 percent in 2009 (World Bank Global Economic Prospects, April 2009).
- WTO forecast of a 9 percent fall in world merchandise trade in 2009, with developed-economy exports falling by some 10 percent on average, and developing-country exports shrinking by 2–3 percent.
- A projected gradual pickup in trade volumes is not expected until 2010.
- Baltic Exchange Dry Index fell by more than 90 percent between May and November 2008.
- International Air Transport Association: cargo traffic dropped by 13.5 percent in November 2008 (compared with November 2007); cargo freight declined by 23 percent in December 2008.
- IMF commodity price index declined by 27 percent between November 2007 and November 2008; this decline is estimated to have contributed to an 11 percent drop in trade.
- Biofuel-driven land shifts: in the last three years, 5 million hectares of cropland that could have been used for wheat have gone to rapeseed and sunflowers for biofuels in major wheat producers.
- Increased demand for biofuels is estimated to have accounted for 70 percent of the increase in corn prices and 40 percent of the increase in soybean prices.
- The value of pledges to a (climate) fund was $5.7 billion as of exchange rates on January 23, 2009.

### Recent developments in international trade (overview)
- The global recession in late 2008 led to falling demand and robust trade growth turning negative in most countries by early 2009.
- International trade is forecast to decline in 2009, for the first time since 1982.
- Declining demand was compounded by a contraction in available finance for trade flows and a trade credit crunch with sharp increases in trade credit spreads.
- Monitoring from the WTO and the World Bank indicates protectionist and discriminatory policies contributed only limitedly to the decline in trade to date, but risks of protectionism have heightened.
- Falling commodity prices and exchange rate movements compounded the decline in world trade in the second half of 2008.
- Small countries in Africa, Eastern Europe, and Central Asia experienced the largest percentage declines in exports to the U.S. market.
- Emerging countries as a group have been particularly vulnerable due to their share of recent global growth; low-income countries are less financially and trade-integrated but often less equipped to deal with crises.

### Food and fuel crisis: causes and trade effects
- Oil prices doubled between January 2007 and August 2008.
- Grain prices more than doubled between January 2006 and September 2008.
- A large number of developing countries that are net importers of food and fuel were severely affected by increased import bills and deteriorating balance of payments.
- Food prices have retreated from mid-2008 peaks but are projected to remain well above their 1990s levels for the next several years.
- Root causes traced to long-term trade-distorting policies:
  - Agricultural trade-distorting policies include specific and ad valorem tariffs (sometimes linked to quantities, such as tariff rate quotas), quantitative restrictions or prohibitions, domestic producer supports, export subsidies, and safeguard protections.
  - Preferential trade agreements further segment and distort agricultural markets.
  - Biofuel policies (import duties, subsidies, tax credits, legislative mandates) in high-income countries increased demand for food crops used as biofuels, shifting land away from other crops and contributing to higher global food prices.
- Combined effect: displacement and reduced efficiency of global agricultural production, less resilience of global food trade to exogenous shocks, and insufficient investment in supply response in developing countries.

### Trade policy, competitiveness, and reform priorities
- Maintaining and enhancing trade openness is critical to preserve mutual benefits of trade and support economic recovery.
- Domestic reforms—particularly trade facilitation and behind-the-border reforms—can improve competitiveness and diversify exports, possibly doing more than further tariff reductions to increase trade flows.
- Trade facilitation priorities include improved border processing systems, logistics services, and trade infrastructure.
- Completing the Doha Round of multilateral trade negotiations would help keep markets open, ease protectionist pressures, and strengthen the rules-based multilateral trading system.
- Fulfilling aid-for-trade commitments by high-income countries and international institutions is important to support multilateral trade liberalization and domestic trade facilitation efforts, given infrastructure and supply-side constraints in many poor countries.

### Observed trade indicators and sectoral impacts
- Robust trade growth turned negative in most regions by late 2008 (regional monthly export growth rates showed large negative readings across multiple regions in late 2008 and early 2009).
- World merchandise trade expected to contract sharply in 2009 with manufactured goods experiencing a significantly sharper contraction.
- Tourism down in many regions; total trade in services appeared more resilient than in manufactures.
- U.S. import data show declines across nearly all industries, notably transportation and machinery, electrical equipment, and stone and glass—reflecting falling demand and investment.

*Italic: Source: GLOBAL MONITORING REPORT 2009 (chapter excerpts provided in the supplied content).*

### chAPTER 5

### chAPTER 5

### Agricultural policies, export restrictions, and food crisis responses
- In 2007 support to farmers in advanced countries amounted to $258 billion, equivalent to 23 percent of the farmers’ gross receipts, down from 26 percent in 2006 and 28 percent in 2005.
- With international commodity prices rising, the gap between supported domestic prices and world prices narrowed, contributing to the lowest level of producer support since estimates began in the mid-1980s.
- Export taxes, quotas, or outright bans were imposed by some large food-exporting countries. Such measures:
  - reduce production incentives and can have unintended economic and social consequences;
  - distort prices and resource allocation, impeding investment and supply-side response;
  - prevent local farmers from receiving higher world market prices (slowing poverty reduction in rural areas);
  - displace local production toward non-restricted crops;
  - cut local production from global buyers and distribution chains and jeopardize future market reentry;
  - create space for illegal trade and related governance malpractices;
  - exacerbate global price rises and fluctuations, encouraging retaliatory export curbs and hoarding;
  - hurt trading partners and the multilateral trading system, weakening security for poor and vulnerable countries.
- Policy responses in many countries included lower import tariffs or taxes, subsidies, and price controls. Direct price controls or untargeted subsidies typically:
  - tend to be disincentives for producers;
  - do not concentrate help on the poorest;
  - drain scarce fiscal resources.
- Targeted assistance is needed for farmers who previously had protected markets, particularly if tariff reductions are unanticipated.
- Priority trade-policy actions to address the food crisis more fundamentally include:
  - disciplining export controls;
  - reversing biofuel subsidies;
  - lowering production subsidies;
  - facilitating agriculture trade;
  - investing in trade-related infrastructure;
  - completing the Doha Round;
  - further liberalizing agricultural trade on a multilateral basis.
- The IMF’s Trade Integration Mechanism is cited as an instrument to help mitigate possible adverse effects of liberalization on net food importers.

### Trade finance: tightening, impacts, and responses
- Trade finance tightened and its cost rose as the financial crisis unfolded because of:
  - growing liquidity pressure in mature markets;
  - heightened country and counterparty risks;
  - loss of market participants (for example, Lehman Brothers);
  - drying up of the secondary market for short-term exposure;
  - commodity price volatility.
- The implementation of the Basel II Accord, with increased risk sensitivity of capital requirements, is generally considered to have put additional pressure on banks to hold back on trade finance.
- Trade finance importance and scale:
  - Up to 20 percent of the $15.8 trillion world merchandise trade in 2008 involved secured documentary transactions, such as letters of credit (LCs).
- Historical precedents:
  - During the 1997–98 East Asian financial crisis, bank-financed trade credits declined by about 50 percent and 80 percent in the Republic of Korea and Indonesia, respectively.
  - In the 2001–02 crisis episodes in Argentina and Brazil, trade credits declined by as much as 30–50 percent.
- Selected 2008 indicators:
  - Structured medium- and long-term trade finance instruments contracted by about 40 percent in the last quarter of 2008 compared with 2007 (Dealogic).
  - The number of trade finance messages declined by 4.8 percent in December 2008 compared with the same period in 2007 (Society for Worldwide Interbank Financial Telecommunication).
  - An IMF/BAFT survey in December 2008 of 40 banks found:
    - Banks in developed countries reported roughly the same number of documentary credits, guarantees, and LCs in October and November 2008 compared with the same period in 2007.
    - Emerging market banks reported a 6 percent fall in such transactions.
  - Berne Union data indicated that in the last quarter of 2008 new insurance commitments increased strongly for high-income countries and decreased for developing countries.
- Rising costs and spreads:
  - By end-2008, trade finance deals were offered at 300 – 400 basis points over interbank refinance rates—two to three times more than the rate a year earlier.
  - The cost of LCs was reported to have doubled or tripled for buyers in emerging countries, including Argentina, Bangladesh, China, Pakistan, and Turkey.
  - More than 70 percent of IMF/BAFT respondents indicated LC pricing increases; 80 percent cited an increase in their own institution’s cost of funds and 60 percent cited an increase in capital requirements as reasons.
- Vulnerabilities and resilient instruments:
  - Supply-chain finance solutions and trade credits across multiple transaction types may be relatively stable because underlying risks can be borne among party constituents rather than intermediated by banks.
  - Factoring—outright purchase of invoices at a discount—could be particularly suited to a heightened risk environment because seller creditworthiness matters less than the value of underlying assets; factoring remains a relatively small source of credit in emerging markets but the crisis could be an opportunity to expand it.
- Policy and institutional responses:
  - National authorities provided blanket liquidity to banks and targeted trade credit lines and guarantees for exporters (for example, Brazil’s Central Bank issued loans in October 2008).
  - Coordinated interventions, currency swaps among central banks, and mobilization of export credit agencies were suggested to restore confidence and lower intervention costs. The U.S. Federal Reserve’s swaps in late 2008 in support of Brazil and Mexico are cited as an example.
  - Promoting the use of local currencies in intraregional trade to reduce dependence on the U.S. dollar and the euro is a policy option.
  - Development institutions and regional development banks expanded trade finance support:
    - The International Finance Corporation (IFC) doubled its Global Trade Finance Program to $3 billion.
    - The IFC introduced a Global Trade Liquidity Pool expected to provide up to $50 billion of trade liquidity support over the next three years.
    - Regional development banks (AfDB, ADB, EBRD, IDB) launched or expanded trade finance programs and guarantee facilities, focusing on small transactions in low-income countries.
  - The international community agreed at the G-20 meeting in London, April 2009, to ensure $250 billion of support for trade finance and asked regulators to use available flexibility in capital requirements for trade finance under Basel II.

### Protectionism temptation and multilateral cooperation
- Economic stress in 2008 raised the risk of rising protectionist tendencies, including:
  - raising barriers to trade in goods or services;
  - restricting capital movements, including operations to finance imports and exports.
- Less distorting alternatives to trade protection include broad-based fiscal stimulus to support domestic demand.
- Trade and industrial policy targeted at specific industries tend to:
  - impose net costs on the economy;
  - have adverse domestic consequences on resource allocation and economic efficiency;
  - be met with retaliation and undermine the international trading system;
  - produce distributional consequences that may harm many poor households.
- Multilateral rules and disciplines are essential to prevent a rebound into trade-induced depression; adherence by all countries is required for the system to hold during crises.
- Commitments and monitoring:
  - At the Summit on Financial Markets and the World Economy, Washington, DC, November 2008, G-20 leaders committed to refrain, during the next 12 months, from raising new barriers to investment or trade in goods and services, imposing new export restrictions, or implementing WTO-inconsistent measures to stimulate exports.
  - WTO monitoring reported a marked increase in protectionist pressures globally since September 2008, including in some G-20 countries, with increases in import licensing, import tariffs and surcharges, and trade remedies.
  - Examples of countries that introduced trade-restricting or distorting measures include Argentina, Ecuador, India, Indonesia, Ukraine, and the European Union.
- Table summary (as reported): selected countries introduced trade policy actions and sector-specific support measures (list of countries included, WTO Report to the Trade Policy Review Body, March 26, 2009).  

*Source: chAPTER 5, GLOBAL MONITORING REPORT 2009*

### chAPTER 5

### chAPTER 5

### Trade protectionism and policy responses during the crisis
- Antidumping use rose sharply in 2008:
  - Initiations of new antidumping investigations increased by 31 percent.
  - Application of new antidumping measures increased by 19 percent.
  - Developing countries accounted for 73 percent of all new investigations in 2008.
  - Brazil, India, and Turkey were the top three initiators with some 100 cases combined.
  - India, the United States, and the European Union applied the most new antidumping measures—some 64 combined—most frequently targeting products from China.
- Policy concerns and contagion risks:
  - Industrial subsidies (for example, to the car industry) can prompt retaliatory subsidies or protection, leading to a subsidy war that compounds damage and diverts resources from productive uses.
  - Programs aimed at protecting businesses and jobs (including “buy domestic” provisions) can restrict or distort trade despite not being traditional trade barriers.
- International commitments and calls for restraint:
  - G-20 leaders reaffirmed—and extended to the end of 2010—the commitment made in Washington, DC, to refrain from raising new barriers to investment or trade, imposing new export restrictions, or implementing WTO-inconsistent measures taken since their Washington meeting.
  - The IMF and the World Bank encouraged revival of the significant Doha package that was on the table in Geneva in July 2008.

### Antidumping trends (figure 5.6)
- Growth rate description (as reported):
  - Antidumping initiation and antidumping measures showed marked year-to-year variation with a notable rise in 2008 (see text above for exact percent changes).

### Doha Round: status, potential gains, and outstanding issues
- Rationale and urgency:
  - A successful Doha Round would help ensure open markets during financial stress, ease protectionist pressures, strengthen the rules-based multilateral trading system, and boost confidence in a slowing global economy.
  - The need for a successful outcome became more urgent because circumstances in 2009 (disciplining export restrictions or support to industries) differ from those in 2001 when the round was launched.
- Progress and setbacks:
  - The ministerial meeting in Geneva in July 2008 failed to achieve a breakthrough, with impasses on nonagricultural market access (NAMA) and several agricultural issues, including the agricultural special safeguard mechanism for developing countries.
  - Negotiations produced a broadly supported compromise package on tariff and subsidy reduction parameters in agriculture and NAMA, progress on fisheries subsidies, near resolution of the EU banana regime and ACP margin of preference, and a successful “signaling conference” on services.
  - Revised draft texts for agriculture and NAMA circulated in December 2008, but substantial differences remained (special safeguard mechanism, cotton, sectoral negotiations), and no ministerial was convened.
- Proposed outcomes and detailed modal commitments (as described for the December 2008 package):
  - Agriculture (developed countries under the agreement would):
    - Cut highest bound tariffs by 70 percent over five years.
    - Implement an average cut of not less than 54 percent.
    - Lower subsidy limits by 70 percent (United States) to 80 percent (European Union).
    - Eliminate all export subsidies by 2013.
  - Developing countries:
    - Bound tariffs would be cut by somewhat less than two-thirds of the cuts required of developed countries.
    - Would be allowed to designate certain “special” products for differential treatment, exempting them fully or partially from tariff cuts.
  - NAMA:
    - Developed countries’ average bound and applied tariffs would be cut by roughly a third over four or five years, with the highest cuts in peak tariffs.
    - Developing countries would be subject to little or no cut in applied tariffs.
  - Rules negotiations produced a draft text on antidumping and subsidies and countervailing measures; the U.S. practice of “zeroing” remained a primary source of disagreement.
- Policy message:
  - The Doha deal “on the table” in July 2008 should be revived and brought to closure; a deal based on those broad parameters would compare favorably with the Uruguay Round on market access and surpass it in breadth and tangible benefits for developing countries.

### Preferential Trade Agreements (PTAs) and their implications
- Trends and concerns:
  - With slow progress in Doha, the surge in PTAs is reshaping the world trading system and the trading environment of developing countries.
  - PTAs can promote development in some instances but necessarily discriminate against nonmembers, potentially causing trade diversion that hurts both members and excluded countries.
  - Proliferation of PTAs imposes management burdens on many developing countries and creates a “spaghetti bowl” of overlapping arrangements.
- Country participation statistics:
  - The average African country belongs to four different agreements.
  - The average Latin American country belongs to seven different agreements.
- Notable agreements entering into force in 2008 and early 2009 (examples reported):
  - EU bilateral agreements with Bosnia and Herzegovina, the CARIFORUM states, Montenegro, and Côte d’Ivoire.
  - U.S. agreements with Peru and Oman.
  - Japan agreements with Indonesia and the Philippines.
  - Various agreements among developing countries (Panama–Chile, Pakistan–Malaysia, Turkey–Albania).
  - European Union EPAs and interim agreements with a range of ACP countries and regions (detailed in the chapter text).

### Measures of trade restrictiveness and market access
- Indices used:
  - Overall Trade Restrictiveness Index (OTRI): captures ad valorem tariffs, specific duties, and nontariff measures (NTMs) such as price controls, quantitative restrictions, monopolistic measures, and technical regulations. Reflects net (overall) restrictiveness.
  - Tariff Trade Restrictiveness Index (TTRI): narrower scope, takes into account only tariffs (both ad valorem and specific).
  - Market Access OTRI (MA-OTRI) and Market Access TTRI (MA-TTRI): measure restrictiveness confronting exporters (overall and tariff-only equivalents).
- Interpretation notes:
  - Because many NTMs are not protectionist in intent or effect, OTRI reflects overall restrictiveness rather than deliberate protection; TTRI is a better measure of protectionist intent.
  - The TTRI’s limited coverage of instruments means it provides a lower-bound estimate of prevailing protection in a market.
- Aggregate and regional findings (2007 vintage as reported):
  - Trade policies are generally more restrictive in developing countries than in high-income economies (figures 5.7 and 5.8).
  - Except for upper-middle-income countries, agricultural TTRIs and OTRIs substantially exceed those for manufactures.
  - Nontariff measures are an important component of overall restrictiveness, especially for agricultural products.
    - For high-income countries, OTRI is about three times higher than TTRI.
    - For lower-middle-income and low-income countries, the OTRI-to-TTRI ratio is two or less.
  - Regional levels of restrictiveness (OTRI/TTRI):
    - Higher for South Asia and Middle East and North Africa.
    - Lower for East Asia and Pacific and Europe and Central Asia.
    - Sub-Saharan Africa and Latin America and the Caribbean lie between these extremes.
  - The United States, European Union, Japan, and China account for about 60 percent of world trade; all have policies that are more restrictive of trade in agricultural products than manufactures, with Japan and the European Union imposing significantly higher restrictions (figure 5.9).
- Trends over time (2002–2007):
  - For all income groups and regions, the overall OTRI has fallen since 2002 (figure 5.10).
  - Greatest overall liberalization has been implemented by low-income countries, especially in manufacturing goods.
  - Middle-income developing countries significantly reduced restrictiveness of agricultural trade.
  - China’s OTRI fell by almost 8 percentage points between 2002 and 2007, driven in part by a dramatic reduction of 32 percentage points in China’s agricultural OTRI.
  - By overall OTRI improvement, South Asia improved the most, followed by Middle East and North Africa and Latin America and the Caribbean.
- Market access effects:
  - Changes in market access vary across trading partners and regions due to discriminatory trade policies (preferences) and trade composition.
  - MA-OTRI reports indicate Sub-Saharan Africa benefits from relatively liberal market access because of preferential access to major economies and a larger share of commodity exports (which face low tariffs). Conversely, Sub-Saharan Africa’s market access to other low-income countries is restricted.

### Policy recommendations and opportunities for reform
- Refrain from unilateral trade restrictions in areas lacking multilateral disciplines; avoid export restrictions and measures that contributed to the food price crisis.
- Keep markets open and use the crisis as an opportunity to:
  - Invest in trade-related infrastructure.
  - Implement trade facilitation reforms to increase global trade flows and partly offset recessionary impacts on trade.
- Use multilateral cooperation to make trade finance more affordable and resilient during crises; the Doha Round and the WTO could contribute to making provision of trade financing more secure and available, particularly in developing countries.
- Revive the Doha Round based on the substantial progress achieved (the December 2008 package) to boost economic growth and expand opportunity by cutting subsidies drastically, lowering tariffs significantly, and opening up services markets.
- Address specific Doha sticking points (special safeguard mechanism, cotton, “zeroing” in antidumping practice) with solutions that balance protection of fragile producers and preservation of normal trade flows.

*Source: _gmr - chAPTER 5_*

### chAPTER 5

### chAPTER 5

### Market access and OTRI/MA-OTRI: patterns and recent changes
- High-income countries’ exports mainly consist of manufactures, for which restrictiveness has declined relatively more.
- Exports of lower-income countries are more oriented toward agriculture, which faces more restrictive barriers and for which liberalization has been more mute.
- Regional observations:
  - Europe and Central Asia market access to high-income countries is facilitated by preferences in the European Union.
  - Low MA-OTRI confronting Middle East and North African countries is largely attributable to the composition of exports—oil products are generally subject to low import tariffs.
  - Latin America and the Caribbean faces relatively high market access barriers in Europe and Central Asia and the Middle East and North Africa.
  - Restrictions on intraregional market access remain high in many regions despite the multiplication of regional trade agreements.
- Recent changes, 2002–07:
  - Market access has improved in recent years, with Latin America and the Caribbean benefiting the most in South Asia, East Asia, and within Latin America.
  - Sub-Saharan Africa gained significantly in South Asia but also within Africa.
  - High-income countries increased their market access in most regions, largely attributable to export composition.

### Restrictiveness of services trade policies (2008)
- Data source: Gootiiz and Mattoo 2009; the regional index averages individual countries’ services trade restrictiveness index and incorporates financial services, retailing, maritime shipping, maritime auxiliary services, air passenger services, accounting, auditing, and legal services in domestic and foreign law.
- Regional index values reported:
  - OECD: 17.1
  - Europe & Central Asia: 18.7
  - Latin America & Caribbean: 21.0
  - Sub-Saharan Africa: 26.0
  - East Asia & Pacific: 36.6
  - South Asia: 39.3
  - Middle East & North Africa: 41.4
- Sectoral patterns (2008):
  - Despite liberalization, telecommunications, finance, and retail services are still relatively restricted in Asia.
  - Many Sub-Saharan African countries have opened up telecommunications, especially the mobile segment, but the sector remains relatively restricted in the region.
  - Transport and professional services are restricted across the world, including in Latin America, Eastern Europe, and developed countries.
- Survey coverage:
  - Surveys conducted in 56 developing countries and comparable information for 24 developed countries.
  - Five key sectors covered: financial services (banking and insurance), telecommunications, retail distribution, transportation, and professional services.
  - Modes analyzed: cross-border trade (mode 1) in financial, transportation, and professional services; commercial presence/foreign direct investment (mode 3) in each services sector; presence of service-supplying individuals (mode 4) in professional services.

### Behind-the-border trade costs and trade facilitation
- Trade facilitation is critical to export competitiveness and diversification; easing movement of goods internationally can substantially increase trade flows.
- Sources of high trade transaction costs include outdated and inefficient border processing systems and lack of capacity to move goods rapidly across borders.
- Domestic factors contributing to trade costs: legal and regulatory framework, efficiency of infrastructure services and related regulation, customs clearance procedures, and administrative red tape.
- Existing indicators and averages by country income group (Table 5.2):
  - LPI (score, 5-point scale):
    - High-income countries: 3.9
    - Middle-income countries: 3.0
    - Low-income countries: 2.8
  - Doing Business, import (US$) — fees to import a 20-foot container:
    - High-income countries: 813.6
    - Middle-income countries: 1,024.2
    - Low-income countries: 1,212.0
  - Doing Business, export (US$) — fees to export a 20-foot container:
    - High-income countries: 774.4
    - Middle-income countries: 867.6
    - Low-income countries: 949.3
- Trade facilitation agenda components:
  1. Modernizing and improving border management institutions, processes, and supporting hardware (including customs, standards compliance, transport security).
  2. Streamlining trade regulations and procedures (licensing, trade finance rules, documentary requirements, work permits).
  3. Increasing efficiency and capacity of trade gateways (ports and airports).
  4. Creating an enabling environment for efficient provision of services (logistics, transport security, trade finance, testing and certification, remittances, freight-forwarding, customs brokering).
  5. Improving trade corridors, including multimodal freight transport and gateway infrastructure.
  6. Establishing regional trade facilitation systems (transit regimes for landlocked countries, regional sanitary and phytosanitary management, regional customs harmonization and standardization).

### Empirical impacts: trade costs versus trade policy
- Gravity-model findings:
  - Distance, common border, and common language are important determinants of bilateral trade.
  - Landlocked countries tend to trade less, especially in exports; larger and more populous countries trade more.
  - Trade policies (tariffs and NTMs) are statistically significant determinants of trade volumes.
  - On average, a reduction in the TTRI of 10 percent would increase trade volumes by a little more than 2 percent.
  - NTMs add another 1.8 percent to the effect.
- Logistics and internal trade cost elasticities:
  - Coefficient estimates for the LPI suggest that a one point reduction in the LPI score would increase trade volumes by about 50 percent.
  - Elasticity of imports to the cost of importing ≈ 0.48; elasticity of exports to the cost of exporting ≈ 0.47.
    - Therefore, a 10 percent reduction in the cost associated with importing would increase imports by about 4.8 percent.
    - A 10 percent reduction in the cost associated with exporting would increase exports by about 4.7 percent.
  - When including both the LPI and Doing Business indicators, all coefficients remain significant except for the LPI for the importers.
- Convergence experiment (Table 5.3): predicted effect on trade if low-income countries were to converge to middle-income average levels:
  - Increase in imports and exports associated with specific measures:
    - LPI score convergence: Increase in imports = 15.2 percent; Increase in exports = 14.6 percent.
    - Doing Business, cost of trading convergence: Increase in imports = 7.4 percent; Increase in exports = 4.1 percent.
    - TTRI for low-income countries reduced to 5 percent: Increase in imports = 5.7 percent; Increase in exports = n.a.
    - OTRI for low-income countries reduced to 10 percent: Increase in imports = 8.4 percent; Increase in exports = n.a.
  - Interpretation:
    - Largest increases in trade are associated with improving logistics-trade facilitation scores (LPI).
    - Improving Doing Business measures of internal trade costs has an impact similar to further traditional trade policy reform (reducing TTRI or NTMs).
    - Administrative and regulatory policies are at least as important as trade policies in impeding trade.
    - Trade facilitation measures can be implemented unilaterally and do not require multilateral negotiations.

### Aid for Trade: trends and institutional response
- Rationale:
  - Trade reform and investment in trade infrastructure produce cross-border externalities and global public good characteristics; underinvestment can occur because benefits are not fully captured domestically.
  - Aid for trade can complement trade reform and global market opening.
- Institutional developments:
  - 2005 Hong Kong, China Ministerial: called on donors to increase resources for aid for trade, endorsed enhancement of the Integrated Framework for least developed countries, and established a Task Force on Aid for Trade.
  - Aid-for-Trade Task Force recommended improvements in global monitoring; three regional reviews occurred in 2007; WTO Global Aid for Trade review held in Geneva in November 2007; WTO announced an aid-for-trade roadmap in 2008; a second global review to take place in early July 2009.
- Common themes from the first global review:
  - Importance of leadership in developing countries to integrate trade into national plans.
  - Priority setting to choose projects with biggest return on investment.
  - Thinking regionally for capacity and connectivity problems.
  - Ensuring increased and predictable financing by following through on donor pledges made at Monterrey, Gleneagles, and Hong Kong, China meetings.
  - Mobilizing the private sector because businesses, not governments, trade.
- Aid-for-trade flows (Table 5.4 and related summary):
  - Aid-for-trade flows increased by some $2 billion in real terms during 2007, or 21 percent relative to the baseline for 2002–05 established by the Aid for Trade Task Force.
  - Total aid for trade in 2007 represented roughly 30 percent of total sector allocable official development assistance (ODA), below the 35 percent registered in 2002.
  - In 2007, commitments from multilateral donors increased by more than 30 percent, while total commitments from bilateral donors decreased by 2 percent from 2006 to 2007.
  - The United States and Japan continued to dominate global aid-for-trade delivery, with $4.6 billion and $4.4 billion in 2007, respectively (figures reported in the chapter).
- World Bank Group response:
  - Scaled up trade facilitation programs and launched a Trade Facilitation Facility in April 2009 to provide a one-stop shop, bring together institutional resources, and respond to increased demand for trade facilitation support.

*Source: Global Monitoring Report 2009, chapter 5.*

### chAPTER 5

### chAPTER 5

### Aid-for-Trade: recipients and regional distribution
- Iraq, India, Vietnam, Afghanistan, and Ethiopia were the top five recipients of aid for trade in 2007, accounting for almost 30 percent of the total.
- Asia received almost 50 percent of all aid for trade—$10 billion on average during 2002–07.
- Africa received 32 percent ($7.14 billion).
- Ethiopia accounted for 3.17 percent of total aid for trade in 2007 and was the only Sub-Saharan African country among the top five recipients.
- Even when excluding large recipient countries in Asia, Africa lags behind: the average Asian country received one- and- a- half times more than the average African country.
- Low-income countries received only about half of the total aid-for-trade commitments in 2002–07, slightly more than half of which went to least-developed countries.

### Donors, multilateral providers, and funding concentrations
- The World Bank, through the International Development Association (IDA), was the largest provider of concessional aid for trade in 2007, closely followed by the United States; both provided about 18 percent of total aid for trade in 2007.
- The ADB and the AfDB are important providers of aid for trade in their respective regions and among the top 10 donors globally.
- In 2007, the AfDB allocated more than 90 percent of its total sector allocable ODA to aid for trade.
- The 10 largest bilateral donors and multilateral agencies funded more than 90 percent of global aid-for-trade activities in 2007.
- In general, a greater portion of multilateral than of bilateral commitments goes to low-income countries.

### Composition of aid-for-trade and delivery modalities
- In terms of composition, aid to support the development of economic infrastructure and productive capacity building dominated overall volumes of aid for trade, at 54 percent and 43 percent, respectively, in 2007.
- Aid for trade policy and regulations is usually delivered through technical assistance; the text notes that grants, through technical assistance, accounted for the smallest share, though limitations in data collection might underestimate this portion of aid for trade.

### Enhanced Integrated Framework (EIF) and trust funds
- Progress has been made in trade-related technical assistance for the least-developed countries with the establishment of the Enhanced Integrated Framework (EIF) in 2007, a new executive secretariat, and a trust fund to support its operations.
- The EIF governance structure will emphasize country ownership by reinforcing and enlarging the involvement of the EIF national bodies at the country level, linking the WTO-based EIF secretariat to in-country processes, and encouraging recipient countries to lead projects.
- In September 2007 a pledging conference was held for the EIF Trust Fund in Stockholm; 22 donors pledged $170 million over a five- year period. Since then, a further $3 million has been pledged.
- With the selections of the trust fund manager and head of the secretariat, the EIF is likely to be fully operational in early 2009.

### World Bank Multi-Donor Trust Fund for Trade and Development (MDTF) activities
- The World Bank launched in November 2007 the Multi-Donor Trust Fund for Trade and Development to provide additional resources in support of the Bank’s trade strategy at the country, regional, and global levels.
- The trust fund supported work in many low-income countries and regional projects in its first year of operation, and enhanced the World Bank’s capacity to:
  - respond to client demand for trade-related technical assistance and capacity building;
  - develop analytical tools to assist countries to define trade policy strategies;
  - expand research and datasets on trade topics of importance to developing countries; and
  - diffuse knowledge on international trade to developing countries.
- Examples of supported work include: a comprehensive program on trade in services in the Africa region; mainstreaming trade and competitiveness in Côte d’Ivoire, Madagascar, and Tanzania; technical assistance for trade policy reform and export promotion in North Africa; a regional study on services trade in South Asia; an assessment of trade facilitation and logistics in Mongolia; and new research on agriculture and poverty with a focus on gender.
- The current donors to the MDTF are Norway, Sweden, and the United Kingdom for a total contribution of approximately $30 million over three years (2007–10).

### International Financial Institutions: crisis pressures and IFI priorities (start of chapter 6)
- Context: IFIs have shifted focus to counteracting and mitigating the global private credit crunch and recession.
- Private capital flows to developing countries deteriorated sharply in 2008:
  - Cross-border syndicated bank loans fell from $410 billion to $167 billion.
  - Bond issuances fell from $170 billion to $72 billion.
  - Equity investments fell from $269 billion to $174 billion.
- Projections and risks:
  - In 2009 net private capital flows to developing countries could fall still further, to less than one-fifth of the 2007 peak level.
  - Net private flows could even turn negative in 2009 if difficulties in rolling over maturing debt intensify.
  - The World Bank estimates that developing countries face a financing gap of $270 billion–$700 billion in 2009 depending on the severity of the economic and financial crisis and the strength and timing of policy responses.
  - Should a more pessimistic outcome occur, the financing gap could increase to as much as $1 trillion.
- Immediate priorities for the IFIs:
  - limit the fall in economic growth in developing countries;
  - maintain public infrastructure assets;
  - assist poor households.
- Rationale: The negative effect on human capital of growth collapses seems to be greater than the positive effect from growth accelerations; thus the ability of the IFIs to offset recent shocks is critical to sustaining recent gains toward achieving the Millennium Development Goals (MDGs).

*Source: chAPTER 5, GLOBAL MONITORING REPORT 2009*

### chAPTER 6

### _gmr - chAPTER 6

### IFI response and resource needs
- The IMF has provided $49 billion since mid- 2008 and the MDBs had record gross disbursements of $55 billion in 2008.
- Disbursements of concessional funds from MDBs were relatively flat in fiscal 2008 at about $12.5 billion.
- The IMF provided about $260 million in additional Poverty Reduction and Growth Facility funds in 2008.
- The IFC estimates that its clients have postponed or cancelled about $100 billion worth of projects because of lack of finance.
- The reduction in net private capital could amount to about 5 percentage points of developing-country GDP in 2009.
- G-20 actions agreed in London:
  - Increase bilateral financing to the IMF to $250 billion.
  - Incorporate immediate financing into an expanded New Arrangements to Borrow and increase it by up to $500 billion.
  - Consider market borrowing by the IMF if necessary.
  - Double the IMF’s concessional lending capacity for low-income countries and access limits.
  - Use agreed-on IMF gold sales and surplus income to provide $6 billion additional concessional and flexible finance for the poorest countries over the next two to three years.
  - Support a general allocation of SDRs equivalent to $250 billion to increase global liquidity, $100 billion of which will go directly to emerging market and developing countries.
  - Support additional lending by the MDBs, including to low-income countries, of $100 billion over the next three years.
- The IBRD estimates it could use its $100 billion in available resources over the next three years.
- At the London summit, G-20 leaders agreed to support a 200 percent general capital increase at the ADB and to review the need for capital increases of the AfDB, EBRD, and the IDB.

### Impact on low-income countries and protection priorities
- Low-income countries have had less access to additional resources; existing resources may not be sufficient to meet low-income country needs.
- There is an asymmetry in treatment between low- and middle-income countries; low-income countries face greater risk of adjusting through domestic demand contraction.
- The World Bank established a Global Food Crisis Response Program in May 2008 and is proposing a flexible Vulnerability Fund to respond to the current crisis.
- Technical solutions advanced for limited incremental resources include: front-loading of new commitments, contingent debt service clauses in concessional credits, emergency procedures to accelerate disbursements on existing projects, relaxation of budget support ceilings, and access to nonconcessional financing (with or without buy-down arrangements) subject to Debt Sustainability Framework limits.
- MDBs’ role in crises is to protect public assets and the most vulnerable households so that welfare and economic losses are minimized.
  - Example: one estimate suggests that $45 billion in road asset value in developing countries was lost between 1970 and 1989 for lack of $10 billion in maintenance spending.

### Private sector challenges and strategic orientation
- The crisis reinforces IFI focus on private sector activity as the critical driver of development; fiscal stimulus will catalyze sustainable growth only if it reawakens private and business sector activities.
- Structural reform of the business environment complements macroeconomic and fiscal policies in dealing with the crisis.
- IFI approach: growth is central to poverty reduction and private sector development in a properly regulated environment is the main engine of growth.
- MDBs have shifted from supporting specific firms to supporting market development: creating enabling environments, setting environmental and social assessment standards, reducing capital flight and corruption, and widening market scope.
- A broader approach to catalyze the private sector is classified under two headings:
  - Extending the reach of markets: risk mitigation, improvement in the enabling environment, direct support for demonstration projects.
  - Improving basic infrastructure and social service delivery: private sector management and incentives, innovative finance to speed implementation and expand access for the poorest.

### Strategic components and instruments (core IFI strategy)
- Core IFI strategy components (differentiated by country circumstance) include:
  - Stabilize the macroeconomy and, where appropriate, encourage stimulus.
  - Protect development assets by avoiding stop-go expenditures on new projects and maintaining existing infrastructure assets spending.
  - Protect poor households and help maintain social and political stability.
  - Maintain long-term focus on market development and strengthening of the private sector.
- IFI operations often bundle finance, knowledge, and partnerships; many new mechanisms were introduced in 2008, particularly for market stabilization, risk management, and finance.

### Finance: MDB capital, modalities, and instruments
- Key strategic finance issues from 2008:
  - Are IFI resources adequate to meet the needs caused by a major global slowdown?
  - Does the crisis alter long-term projections of demand for MDB activities?
  - Are modalities of support sufficiently flexible?
  - Is MDB capital leveraged and deployed to minimize risk?
  - Are low-income countries adequately protected?
  - Do MDB activities adequately protect vulnerable groups within countries?
- Demand for risk-based instruments, such as deferred drawdown options and guarantees, has been especially strong and may continue post-crisis.
- Clients are increasingly requesting credit lines and precautionary instruments (e.g., deferred drawdown option, trade financing arrangements); the crisis highlighted the need for speed and transparency in access to resources.
- Some MDBs may require significant capital increases because crisis lending has reduced available headroom; ADB is already short of resources and cannot conduct regular multiyear programming without a general capital increase. EBRD is reviewing its capital resources. AfDB is finding concessional credits constrained.
- Example of leverage and additionality efforts:
  - IFC target: have 50 percent of its new projects in poor countries and Africa by 2011.
  - MDBs expanded into underserved market segments: micro, small, and medium enterprise funding; big-ticket infrastructure; social sectors; underserved areas.
- Instruments and programs (selected, introduced or expanded in 2008/2009) include: Countercyclical lending/balance of payments support; Flexible Credit Line; DPOs/deferred drawdown; Disaster insurance; Microfinance Liquidity Facility; Trade Finance Facilitation Program; Global Trade Finance Program; Global Food Response Program; IDA Fast-Track Initiative; Financial market development; Equity, Loans, Guarantees; Public-private partnerships; Sustainable Infrastructure Action Plan; Energy for the Poor Initiative; Innovative financing; Health for Africa; Vulnerability Financing Facility; Advance Market Commitment for Vaccines.

### Knowledge, partnerships, and operational effectiveness
- Knowledge is a core IFI comparative advantage: analyze international spillovers, inform policy making, and warn against risks of trade protectionism and financial mercantilism.
- The IMF has a particularly important role in enhanced surveillance of risk in the globalized financial markets.
- IFIs have emphasized shifting toward more knowledge-based institutions: country analytical work, technical assistance, global data and research provide analytic, diagnostic, and capacity-building support.
- MDBs have made progress on Paris Declaration indicators but still fall short in areas such as: use of country systems, use of project implementation units, and predictability of aid.
- The Independent Evaluation Group of the World Bank (2005) noted that private sector development projects had one of the lowest success rates of any sector.
- Concerns about public support to private firms include distortionary effects of implicit public subsidies and whether funding is additional to private funding or simply a cheaper option undermining market discipline.
- Partnerships and innovative financing areas highlighted include: Public-Private Infrastructure Advisory Facility; Global Partnership for Output-Based Aid; Global Fund to Fight AIDS, Tuberculosis, and Malaria; Global Alliance for Vaccines and Immunizations; Global Emerging Markets Local Currency Bond Program; Carbon markets and corporate governance initiatives; and mechanisms introduced in 2008 or 2009.

*GLOBAL MONITORING REPORT 2009 — chAPTER 6.*

### chAPTER 6

### chAPTER 6

### IFI roles and strategic reorientation
- IFIs are focusing on knowledge provision as a core comparative advantage, building country absorptive capacities, strengthening country strategies, underpinning aid effectiveness, and disseminating global practices.
- Four priority knowledge areas identified:
  - Understanding of the global economic system and development of risk mitigation
  - Country-level implementation of global standards and codes
  - Country-level development of robust markets
  - Social and environmental assessments
- IFIs monitor application of global standards and codes through instruments such as Financial Sector Assessment Programs (FSAP) and Reports on Observance of Standards and Codes.
- Partnerships are emphasized for:
  - Resources for development to fill financing gaps
  - Division of labor according to comparative advantage among agencies
  - Innovative and scaled-up approaches
  - Global public goods

### IMF crisis response and surveillance
- The IMF has expanded semiannual vulnerability analyses to advanced economies and will closely collaborate with a Financial Stability Board to monitor implementation of the G-20 Action Plan for strengthening financial supervision and regulation.
- Joint IMF–Financial Stability Board/Forum Early Warning Exercises (EWEs) integrate macrofinancial and regulatory perspectives; the first joint exercise was completed in March 2009 in collaboration with the Financial Stability Forum.
- IMF operational changes and programs:
  - Provided financial support amounting to about $49 billion to nine emerging countries since mid-2008 to permit orderly adjustment to payments crises.
  - Established a new Flexible Credit Line (FCL) to provide large and up-front financing to emerging economies with very strong fundamentals and policies; the facility can be used on a precautionary basis or for actual balance-of-payment needs.
  - Introduced High Access Precautionary Stand-By Arrangements (SBAs) as a regular lending window for countries not qualifying for the FCL; precautionary SBAs can be frontloaded.
  - Decisions taken on a doubling of access levels for emerging markets and low-income countries.
  - Conditionality has been reformed to make it more focused and tailored to country circumstances.
  - Modified the Exogenous Shocks Facility to speed up access; as a result, $261 million has been committed under this facility as of the end of 2008.
  - Increased financial commitments under Poverty Reduction and Growth Facility arrangements in 2008 by about $214 million.
- The IMF encouraged additional fiscal stimulus in countries with healthy balance sheets and public debt profiles.
- For low-income countries, the joint IMF–World Bank Debt Sustainability Framework is a key tool for assessing fiscal risk.

### World Bank Group and MDB operational responses
- The World Bank implemented a Vulnerability Financing Facility (VFF) as an umbrella for pooling grant resources with World Bank funds to expand and strengthen social safety nets and protect other critical public programs.
- The Vulnerability Framework components include:
  - Vulnerability Financing Facility (VFF) — comprising the Global Food Crisis Response Program (GFRP) and the Rapid Social Response Fund
  - Infrastructure Recovery and Assets Platform (INFRA)
  - IFC Private Sector Platform (including Bank Recap, Trade Finance, Infrastructure Facility, Microfinance Facility, Advisory Facility)
- Specific World Bank and IDA actions and figures:
  - The Crisis Response Program committed $856 million for 29 countries, including $325 million for African countries.
  - IDA provided $4.1 billion in new commitments of concessional financing in the second half of 2008.
  - The IDA Financial Crisis Response Fast-Track Facility aims to fast-track up to $2 billion of financial assistance.
  - The World Bank’s Global Food Crisis Response Program and other initiatives form part of the VFF; G-20 leaders committed at the London summit in April 2009 to supporting the Vulnerability Framework through voluntary bilateral contributions.
- MDBs responded to trade finance shortages by strengthening trade financing facilities; ADB, EBRD, IFC, IDB, and AfDB instituted or prepared trade finance facilities.
- IFC initiatives included a Global Trade Finance Program ($3 billion), a Japan partnership bank recapitalization fund ($3 billion), and an Infrastructure Financing Facility ($500 million).

### Examples of IFI crisis response programs in 2008 (key entries and amounts)
- IMF Flexible Credit Line: No formal access limits; eligibility based on strong macroeconomic fundamentals
- IMF Modified Exogenous Shocks Facility: Up to 75 percent of quota; rapid access component with streamlined conditionality
- IMF High-Access Precautionary Stand-By Arrangements (SBAs): Access above normal limits for SBAs; emergency financing procedures; only core macroeconomic conditions
- IMF Poverty Reduction and Growth Facility Augmentation: Flexible within annual and cumulative ceilings; balance of payments support
- IBRD Development Policy Operations: $100 billion over 3 years; budget and payments support
- IBRD Global Food Crisis Response Program: $200 million + $1 billion (other donors); trust funds from net income for social protection and food production
- IBRD Energy for the Poor Trust fund: Increase energy access
- IDA Fast-track Facility: $2 billion; support critical public spending; front-loading of IDA 15
- IFC Global Trade Finance Program: $3 billion; guarantees of trade credits
- IFC/Japan Bank recapitalization fund: $3 billion; equity and subordinated debt for banks
- IFC Infrastructure Financing Facility: $500 million; equity and loans for private and PPP infrastructure
- ADB Trade Finance Facilitation Program: $150 million; support for trade transactions
- ADB Budget support: $717 million; budgetary support for food security/safety nets
- IDB Liquidity Program for Growth Sustainability: $6 billion; balance of payments support to member governments
- EBRD Crisis response: €7.0 billion expected 2009 financing (€1.6 billion over 2008)
- AfDB Trade Finance Initiative: $1 billion; lines of credit to financial institutions
- AfDB Emergency Liquidity Facility: $1.5 billion; short-term emergency finance support

### Volume and allocation of MDB lending
- MDB gross disbursements in 2008: $55.1 billion, up from 48.7 billion in 2007.
- Of the $55.1 billion, $42.5 billion was in nonconcessional resources, up from $36.7 billion in 2007.
- Gross concessional flows rose by only 3.5 percent to $12.5 billion, compared with the 17.2 percent increase in nonconcessional lending to sovereign borrowers.
- Total MDB lending is expected to rise sharply in the next three years, in response to the global economic crisis, to an annual average of as much as $100 billion.
- Nonconcessional lending to sovereigns totaled about $27.8 billion in 2008, up from $23.7 billion in 2007.

### Anti-corruption, asset recovery, and governance initiatives
- The Stolen Asset Recovery (StAR) Initiative, launched by the World Bank and the United Nations Office on Drugs and Crime in October 2007, works with financial centers and developing countries to reduce barriers to asset recovery and facilitate return of stolen assets.
- Programs have been started in six countries, with discussions under way in many more.
- StAR explores strengthening regulations in financial centers to trace beneficiary ownership of bank accounts and enhance supervision of accounts of politically exposed persons, while providing legal assistance and training to developing countries to manage asset recovery programs.
- A first success: Haiti appears to be on its way to recovering $6 million after a Swiss Federal Office of Justice ruling that account holders failed to prove legal acquisition of the funds; the order may be appealed.
- Stolen assets potentially could exceed $1 trillion.

*Source: chAPTER 6, GLOBAL MONITORING REPORT 2009.*

### bOx  	6.3	   MD bs	and	trade	finance

### bOx  	6.3	   MD bs	and	trade	finance

### IFC Global Trade Finance Program — expansion and features
- The IFC’s Global Trade Finance Program was doubled from $1.5 billion to $3.0 billion.
- Guarantees issued under the program will have an average duration of six months, thereby supporting up to $18 billion of trade finance over the next three years.
- The program offers banks guarantees covering the payment risk in trade transactions.
- Since the program’s inception in September 2005:
  - $3.2 billion in trade guarantees have been issued.
  - 2,600 transactions have been supported.
  - Transaction composition:
    - 48 percent were for banks in Africa.
    - 70 percent involved small and medium enterprises.
    - 50 percent supported trade with the world’s poorest countries.
    - 35 percent facilitated trade between emerging markets.

### Other multilateral development bank (MDB) trade finance initiatives
- EBRD trade facilitation program:
  - Guarantees political and commercial risk of 100 issuing banks and factoring companies.
  - As of the end of 2008, the program had facilitated more than 7,600 trade deals worth more than €4.5 billion.
- ADB trade finance facilitation program:
  - Started operations in 2004.
  - Consists of three products: a Credit Guarantee; a Revolving Credit Facility; and a Risk Participation Agreement under which ADB shares risk with international banks to support trade in challenging and frontier markets.
  - The program has supported over 1,000 international trade transactions for a total value of about $500 million and has grown exponentially over the past 12 months.
- IDB:
  - Recently approved a two-year mandate for the Structured and Corporate Finance department to support trade finance largely through credit guarantees.
- AfDB:
  - Is in the process of preparing a $1 billion trade finance initiative.

### Key implications and operational emphasis (as presented in the source)
- Short-duration trade guarantees (average six months) are designed to provide immediate liquidity and payment-risk coverage to support trade flows during the crisis period.
- MDBs are tailoring instruments—credit guarantees, revolving credit, risk participation—to support trade in challenging and frontier markets and to channel finance to SMEs, Africa, poorest countries, and emerging-market trade corridors.
- The expansion of trade finance programs across MDBs reflects an emphasis on countering reduced private sector liquidity and facilitating continued international trade.

*Source: bOx  	6.3	   MD bs	and	trade	finance (excerpt from the provided IMF chapter).*

### bOx  	6.7	 	   World	bank’s	Sustainable	Infrastructure	action	Plan

### bOx  	6.7	 	   World	bank’s	Sustainable	Infrastructure	action	Plan

### Overview and targets
- The Sustainable Infrastructure Action Plan (SIAP) was approved in July 2008 to leverage private and public funding of $109 billion to $149 billion over fiscal 2008–11 based on World Bank Group financing of $59 billion–$72 billion.
- This would represent a major increase compared with lending of $28 billion in fiscal 2000–03 (leveraged to $45 billion).
- Estimates in December 2008 were already showing that investment commitments in private infrastructure projects were 40 percent below levels just a year earlier, putting the SIAP at risk.

### Infrastructure Recovery and Assets Platform — crisis response framework
- The World Bank Group is establishing a framework initiative for infrastructure recovery and assets during the crisis to serve as an umbrella for the World Bank’s crisis response in infrastructure.
- Objectives of the three-year program:
  - Stabilize existing infrastructure assets by restructuring current portfolios.
  - Ensure delivery of priority projects by accelerating disbursements and identifying additional financing, and by seizing opportunities for “green infrastructure” through access to carbon finance leveraging facilities.
  - Support public private partnerships in infrastructure through advisory and restructuring support, use of guarantees, and innovative instruments (in coordination with the IFC’s Infrastructure Crisis facility).
  - Support new infrastructure project development and implementation by providing financing and advice to governments launching growth and job enhancement programs.

### Crisis impact and financing leverage
- SIAP leverage targets: $109 billion to $149 billion over fiscal 2008–11 based on World Bank Group financing of $59 billion–$72 billion.
- Historical comparison: lending of $28 billion in fiscal 2000–03 leveraged to $45 billion.
- Crisis signal: investment commitments in private infrastructure projects were 40 percent below levels just a year earlier (December 2008).

### Evaluation and lessons from MDB crisis responses
- Evaluation of MDB responses to previous crisis episodes suggests seven points to consider:
  - Quality is as important as scale of crisis-response support
  - The implications for poverty and social safety nets should be given priority
  - Opportunities for greener development activities should be developed
  - Collaboration within and across groups is necessary but not always easy
  - Safeguards continue to be vital to ensure that funds reach intended beneficiaries
  - A focus on results is even more important when resources are scarce
  - Preparedness and early warning make interventions more effective

### Private sector support, development outcomes, and coordination
- Perceptions: In a recent Gallup World Poll, the private sector arms of the World Bank Group, the IFC, and MIGA suffered from much lower perceptions of development effectiveness than the rest of the World Bank Group.
- IFC development outcome tracking system results: in fiscal 2008 the percentage of projects with high development outcomes increased from 63 to 71 percent (81 to 87 percent when weighted by dollar value of projects).
- Project integration and coordination:
  - In the decade ending in 2008, the World Bank Group approved 17 projects in IDA countries that leveraged both public (IDA and other donors) and private (IFC and other private partners) resources.
  - In the past couple of years the pipeline of such projects has grown to 35, most of them in Africa.
  - The World Bank Group consolidated investment climate reform work and investment promotion work under a single entity—the Investment Climate Department.
  - A new IDA-IFC secretariat was established in fiscal 2008 to improve coordination of private sector operations in low-income countries and to promote more joint IDA-IFC operations.

### Social sectors and private provision
- The World Bank’s target under the Africa Action Plan is to connect 2.5 million more people to clean water by 2015.
- Current need indicators: more than 300 million Africans lacking access to clean water (and 500 million lacking sanitation).
- Social sector operations involving the private sector are modest:
  - 2 percent of lending in 2008 for the EBRD and the IFC
  - Less than 1 percent for the other MDBs
- MDB and bilateral roles: In general, empirical evidence and best practices support more active private provision of services under appropriate regulatory systems; there is scope for greater MDB engagement.
- Examples of MDB focus:
  - The AfDB has proposed increased focus on higher education and technology and vocational training.
  - The IFC is focused more on health and has partnered with IDA and the Bill and Melinda Gates Foundation on an Africa health initiative, and is supporting the first private hospital in Bosnia and the first student loan program in Jordan.

*Global Monitoring Report 2009.*

### REfERENcEs

### _gmr - REfERENcEs

### Infrastructure, Utilities, and Private Participation
- Escribano, A., J. L. Guasch, and J. Pena, J. 2008. “Impact of Infrastructure Constraints on Firm Productivity in Africa.” Working paper, AICD, World Bank, Washington, D.C.
- Estache, Antonio, Vivien Foster, and Quentin Wodon. 2002. Accounting for Poverty in Infrastructure Reform: Learning from Latin America’s Experience. Washington, DC: World Bank.
- Foster, Vivien, and Tito Yepes. 2006. “Is Cost Recovery a Feasible Objective for Water and Electricity? The Latin American Experience.” Policy Research Working Paper 3943, World Bank, Washington, DC.
- Gassner Katharina, Alexander Popov, and Nataliya Pushak. 2008. “Does Private Sector Participation Improve Performance in Electricity and Water Distribution?” PPIAF Trends and Policy Options 6. Public-Private Infrastructure Advisory Facility, Washington, DC.
- Eberhard, A., V. Foster, C. Briceño-Garmendia, F. Ouedraogo, D. Camos, and M. Shkaratan. 2008. “Underpowered: The State of the Power Sector in Sub-Saharan Africa.” Background paper, Africa Infrastructure Country Diagnostics (AICD), World Bank, Washington, DC.
- Eberhard, Anton, and Katherine Gratwick. 2006. “The Experience of IPPs across Africa.” Working paper, Management Programme in Infrastructure Reform and Regulation, Graduate School of Business, University of Cape Town.
- Von Klaudy, Stephan, Apurva Sanghi, and Georgina Dellacha. 2008. “Emerging Market Investors and Operators: A New Breed of Infrastructure Investors.” PPIAF Working Paper 7, Public-Private Infrastructure Advisory Facility, World Bank, Washington, DC.
- Komives, Kristin, Vivien Foster, Jonathan Halpern, and Quentin Wodon, with support from R. Abdullah. 2005. Water, Electricity and the Poor: Who Benefits from Utility Subsidies? Washington, DC: World Bank.
- Straub, Stephane. 2008. “Infrastructure and Growth in Developing Countries: Recent Advances and Research Challenges” Policy Research Working Paper 4460, World Bank, Washington, DC.
- Wagstaff, A., and M. Cleason, M. 2004. “The MDGs for Health: Rising to the Challenges.” World Bank, Washington, DC.

### Firm Performance, Investment Climate, and Entrepreneurship
- Datta, Saugato. 2008. “The Impact of Improved Highways on Indian Firms.” World Bank, Washington, DC.
- Dollar, David, Mary Hallward-Driemeier, and Taye Mengistae. 2005. “Investment Climate and Firm Performance in Developing Economies.” Economic Development and Cultural Change 54 (1): 1–31.
- Giannetti, Mariassunta, and Steven Ongena. 2005. “Financial Integration and Entrepreneurial Activity: Evidence from Foreign Bank Entry in Emerging Markets.” Tilburg University, Tilburg, the Netherlands.
- Hallward-Driemeier, Mary and Yue Li. 2009. “Regulations, Access to Finance, and Investment across Countries.” World Bank, Washington, DC.
- Klapper, Leora, Luc Laeven, and Raghuram Rajan. 2006. “Entry Regulation as a Barrier to Entrepreneurship.” Journal of Financial Economics 82 (3): 591–629.
- Levine, Ross, Norman Loayza, and Thorsten Beck. 2000. “Financial Intermediation and Growth: Causality and Causes.” Journal of Monetary Economics 46 (1): 31–77.
- Levine, Ross, and Sara Zervos. 1998. “Stock Markets, Banks, and Economic Growth.” American Economic Review.
- Kaufmann, Daniel, Aart Kraay, and Massimo Mastruzzi. 2008. “Governance Matters VII: Aggregate and Individual Governance Indicators, 1996–2007.” Policy Research Working Paper 4654, World Bank, Washington, DC.

### Financial Sector, Credit Booms, and Regulation
- Honohan, Patrick. 2004. “Financial Sector Policy and the Poor.” Working Paper 43, World Bank, Washington, DC.
- Dell’Ariccia, Giovanni, Deniz Igan, and Luc Laevan. 2008. “Credit Booms and Lending Standards: Evidence from the Sub-Prime Mortgage Market.” IMF Working Paper 2008/106, Washington, DC.
- Igan, Deniz, and Eisuke Okada. Forthcoming. “Housing Choice and Securitization.” IMF working paper, Washington, DC.
- Ebinger, Jane O. 2006. “Measuring Financial Performance in Infrastructure: An Application to Europe and Central Asia.” Policy Research Working Paper 3992, World Bank, Washington, DC.
- De la Torre, Augusto, Juan Carlos Gozzi, and Sergio Schmukler. 2007. “Innovative Experiences in Access to Finance: Market Friendly Roles for the Visible Hand?” Policy Research Working Paper 4326, World Bank, Washington, DC.
- De la Torre, Augusto, Maria Soledad Martinez Peria, and Sergio Schmukler. 2007. “Bank Lending to SMEs.” World Bank, Washington, DC.
- World Bank. 2001. Finance for Growth: Policy Choices in a Volatile World. Washington, DC: World Bank.
- World Bank. 2007a. Finance for All: Policies and Pitfalls in Expanding Access. Washington, DC: World Bank.

### Health, Education, and Private Provision
- Churchill, C., ed. 2006. Protecting the Poor: A Microinsurance Compendium, Geneva: International Labour Organization and Munich Re Foundation.
- Das J., and J. Hammer. 2004. “Strained Mercy: The Quality of Medical Care in Delhi.” Policy Research Working Paper 3228. World Bank, Washington, DC.
- Danel, I., and G. La Forgia. 2005. “Contracting for Basic Health Care in Rural Guatemala: Comparison of the Performace of Three Delivery Models.” In Health System Innovations in Central America: Lessons and Impact of New Approaches, ed. G. La Forgia. Washington, DC: World Bank.
- Preker, A., R. Scheffler, and M. Bassett. 2007. Private Voluntary Health Insurance in Development: Friend or Foe? Washington, DC: World Bank.
- Patrinos, H., F. Barrera-Osorio, and J. Guaqueta. 2009. The Role and Impact of Public-Private Partnerships in Education. Washington, DC: Word Bank.
- Barrera-Osorio, F. 2009. “The Concession Schools of Bogota, Colombia.” In School Choice International, ed. R. Chakrabarti and P. E. Peterson, 193–218. Cambridge, MA: MIT Press.
- Woessmann, L. 2009. “Public-Private Partnerships and Student Achievement: A Cross-Country Analysis.” In School Choice International, ed. R. Chakrabarti and P. E. Peterson, pp. 13–46. Cambridge, MA: MIT Press.
- World Bank. 2003. “Project Performance Assessment Report.” Bangladesh, Female Secondary School Assistance Project. Sector and Thematic Evaluation Group, Operations Evaluation Department. Report 26226. World Bank, Washington, DC.

### Governance, Corruption, and Public Sector Management
- Gulati, Mohinder, and Mark Rao 2006. “Checking Corruption in the Electricity Sector.” World Bank, Washington, DC.
- Kenny, Charles. 2006. “Measuring and Reducing the Impact of Corruption in Infrastructure.” Policy Research Working Paper 4099, World Bank, Washington DC.
- Kenny, Charles. 2007. “Construction, Corruption, and Developing Countries.” World Bank, Washington, DC.
- Kenny, Charles, and Tina Søreide. 2008. “Grand Corruption in Utilities.” Policy Research Working Paper, World Bank, Washington, DC.
- Olken, Benjamin, and Patrick Barron. 2007. “The Simple Economics of Extortion: Evidence from Trucking in Aceh.” Working Paper 13145, National Bureau of Economic Research, Cambridge, MA.
- Vagliasindi, Maria. 2008. “Governance Arrangements for State-Owned Enterprises.” Policy Research Working Paper 4542, World Bank, Washington, DC.

### Aid, Philanthropy, Climate Finance, and Development Cooperation
- Bulir, Ales, and A. Javier Hamann. 2003. “Aid Volatility: An Empirical Assessment.” Working Paper 01/50, International Monetary Fund (IMF), Washington, DC.
- Bulir, Ales, and A. Javier Hamann. 2006. “Volatility of Development Aid: From the Frying Pan onto the Fire.” Working Paper 06/65, IMF, Washington, DC.
- Celasun, Oya, and Jan Walliser. 2008. “Predictability of Aid: Do Fickle Donors Undermine Aid Effectiveness?” Economic Policy 23 (55): 545–94.
- Ben- Artzi, Ruth. 2008. “The Aid Challenge: The Role of Non-Governmental and Philanthropic Actors.” Paper presented at ISA’s 49th Annual Convention, “Bridging Multiple Divides,” San Francisco, CA.
- Brautigam, Deborah. 2008. “China’s Foreign Aid in Africa: What Do We Know?” In China into Africa: Trade, Aid, and Influence, ed. Robert I. Rotberg. Washington, DC: Brookings Institute Press.
- Kharas, Homi. 2009. “The Financial Crisis, a Development Emergency, and the Need for Aid.” Brookings, Washington, DC.
- Marten, Robert, and Jan Martin Witte. 2008. “Transforming Development? The Role of Philanthropic Foundations in International Development Cooperation.” Research Paper Series 10, Global Public Policy Institute, Berlin.
- World Bank. 2008. “Development and Climate Change: A Strategic Framework for the World Bank Group.” Development Committee Paper. Washington, DC.
- World Bank. 2009a. “Climate Investment Funds Financial Status as of January 26, 2009.” Washington, DC.
- OECD (Organisation for Economic Co-operation and Development). 2009a. “Development Co-operation Report 2009.” Paris.
- OECD (Organisation for Economic Co-operation and Development). 2009b. “Results of the 2009 DAC Survey on Donor’s Forward Spending Plans.” Paris.

### Global Financial Crisis, Macroeconomic Policy, and Low-Income Country Vulnerabilities
- IMF (International Monetary Fund). 2009. “Lessons of the Financial Crisis for Future Regulation of Financial Institutions and Markets and for Liquidity Management.” Washington, DC.
- IMF. 2007. “Global Financial Stability Report.” Washington, DC.
- IMF. 2008. “IMF Intensifies Work on Sovereign Wealth Funds.” IMF Survey.
- IMF. 2009. “The Implications of the Global Financial Crisis for Low-Income Countries.” Washington, DC.
- DEC-PREM (Development Economics and Poverty Reduction and Economic Management vice presidencies). 2009. “Developing Countries Face Increasing Macro and Fiscal Policy Challenges: Proposed Responses.” World Bank, Washington, DC.
- Lin, Justin. 2008. “The Impact of the Financial Crisis on Developing Countries.” Paper presented at the Korea Development Institute, Seoul October 31, 2008.
- PREM (Poverty Reduction and Economic Management network). 2009a. “Emerging Impacts of the Financial Crisis on Low-Income Countries Preliminary Findings.” World Bank, Washington, DC.
- PREM. 2009b. “The Global Economic Crisis: Assessing Vulnerability with a Poverty Lens.” World Bank, Washington, DC.
- PREM. 2009c. “Low-Income Countries and the Financial Crisis: Vulnerabilities and Policy Options.” World Bank, Washington, DC.

*Reference list extracted from GLOBAL MONITORING REPORT 2009, REfERENcEs section.*

### REfERENcEs

### REfERENcEs

### Key citations
- Contains bibliographic references to studies and reports by the World Bank, IMF, OECD, UNAIDS, IIF, Gallup World Poll, Center for Global Development, Cato Institute, Peterson Institute, and others, including working papers, Policy Research Working Papers, Trade Notes, World Development Indicators, and World Bank/IMF Global Monitoring Reports.
- Selected authors and works cited include Kee, Hiau Looi; Alessandro Nicita; Marcelo Olarreaga; Limão, Nuno; Venables, Anthony J.; Martin, Will; Mattoo, Aaditya; Newfarmer, Richard; Wilson, John S.; World Bank publications Doing Business Report 2009 and Global Economic Prospects 2009; IMF publications including Food and Fuel Prices—Recent Developments, Macroeconomic Impact, and Policy Responses; and numerous World Bank working papers and notes on the global financial crisis and development impacts.

### Chapter- and annex-level sources
- References are organized by chapter and annex, citing research on trade costs, trade facilitation, the Doha agenda, growth in Sub-Saharan Africa, the financial crisis and development aid, labor markets, poverty and vulnerability, and Millennium Development Goals monitoring.
- Annex references include multiple World Bank Policy Research Working Papers, World Bank reports on poverty and the global crisis, Independent Evaluation Group reports, and sectoral analyses (carbon markets, illicit financial flows, infrastructure responses).

### Monitoring the MDGs — Findings, projections, and indicators
- Poverty (MDG 1)
  - Projections based on the new 2005 purchasing power parity (PPP) poverty data show the share of people living on less than $1.25 a day will fall from 41.7 percent in 1990 to 15.1 percent in 2015.
  - Excluding China, the global share declines from 35.2 percent in 1990 to 18.2 percent in 2015.
  - East Asia and the Pacific exceeded its target; Latin America and the Caribbean and South Asia are projected to be on target.
  - Of the 84 countries with available data (out of 144), 45 have already achieved or are on track to meet the poverty reduction target, and 40 are either off track or seriously off track.
  - Ten of the 12 fragile states with available data are not on track.
  - Sub-Saharan Africa is projected to reduce poverty by only 20 percent between 1990 and 2015.

- Child malnutrition and hunger (MDG 1, Target 1.C)
  - The prevalence of child malnutrition is measured as the percentage of children under age five with weight-to-age more than two standard deviations below the international median.
  - Child growth standards were revised in 2006; current assessments cited use estimates conforming to the old standard.
  - More than half of countries with available data are not on track to achieve the malnutrition target by 2015.

- Employment and inequality (MDG 1, Target 1.B; income distribution)
  - The employment-to-population ratio (ages 15 and older) fell in most regions between 1991 and 2006, with exceptions: the Middle East and North Africa for both genders and Latin America and Caribbean for females.
  - For all regions, the employment-to-population ratio has consistently been lower for females than males.
  - Consumption shares: richest quintile holds a 40 percent or larger share in national consumption across regions, compared with 2 to 9 percent for the poorest quintile; Sub-Saharan Africa and fragile states show the greatest disparity.

- Primary education (MDG 2, Target 2.A)
  - Progress toward primary completion has varied by region: East Asia and the Pacific and Latin America and the Caribbean have progressed well and many countries there are on track; Europe and Central Asia and the Middle East and North Africa have had slow progress.
  - Sub-Saharan Africa and South Asia are not on track to achieve the primary completion target overall, though some countries in these regions show significant progress.
  - Adjusted net enrollment ratios in primary education met or exceeded 90 percent in 2006 for all regions except Sub-Saharan Africa.
  - In Sub-Saharan Africa, adjusted net enrollment rose from 58 percent in 1990 to 71 percent in 2006.
  - The primary school completion rate is computed as the percentage of children completing the last year of primary schooling; under certain circumstances it can exceed 100 percent.

- Youth literacy
  - For countries with data available for the 2005–07 period, literacy rates in most Sub-Saharan African countries were lower than 80 percent for both males and females.
  - In Sub-Saharan Africa, all countries besides Liberia have lower literacy rates for females than males.

- Gender equality and women’s labor force participation (MDG 3, Target 3.A)
  - Most progress in gender parity has occurred at the primary school level; East Asia and the Pacific, Europe and Central Asia, and Latin America and the Caribbean show fairly good progress at all education levels.
  - South Asia and Sub-Saharan Africa lag behind at primary, secondary, and tertiary levels, particularly at the tertiary level.
  - Gender disparity is measured as the ratio of girls to boys enrolled in primary and secondary schools; most regions are on track to achieve the education parity target by 2015.
  - The share of females in total employment is below 50 percent in all regions and is lowest in the Middle East and North Africa and in South Asia.
  - Several regions had slightly lower female participation ratios in 2006 than in 1990; South Asia showed no improvement from 1990 to 2006.

### Policy-relevant observations highlighted in the annex
- The annex emphasizes data access (DataLinks to Excel files for figures) and documents revised PPP-based poverty projections that substantially alter global and regional poverty assessments.
- It highlights regional heterogeneity: East Asia & Pacific made large gains (largely attributable to China), while Sub-Saharan Africa and fragile states face the greatest shortfalls across poverty, nutrition, education, and gender targets.
- Education indicators point to enrollment and completion measurement caveats (e.g., repetition and late enrollment can affect adjusted net enrollment and completion rates).

*Source: REfERENcEs; Global Monitoring Report 2009 (selected annex material and monitoring indicators).*

### 1990. The only regions to show improvements were the

### _gmr - 1990. The only regions to show improvements were the

### Gender parity in education (MDG 3)
- Twenty-five of 27 countries for which data exist in Latin America and the Caribbean have achieved gender parity in primary and secondary education.
- Eighteen of 21 countries in Europe and Central Asia and 15 of 17 countries in East Asia and the Pacific with available data are on track or have achieved this target.
- In Sub-Saharan Africa, 20 of 37 countries for which data exist are not on track, and another 10 countries lack data.
- Ten of the 22 fragile states (for which data exist) are seriously off track, and only 6 have achieved the target.
- Combining primary and secondary education for some countries masks gender bias at either the primary or secondary level; the assessment does not take into account gender bias for boys, and male underenrollment is a concern in many countries, especially at the secondary level.
- Methodology for assessing this target is currently being revised.
- Enterprise Survey findings:
  - About half of the firms in East Asia and the Pacific have female participation in ownership.
  - 13 percent in South Asia have female participation in ownership.
  - 18 percent in the Middle East and North Africa have female participation in ownership.
  - The percentage of women in senior positions ranges from only 2 percent in South Asia to 13 percent in Latin America and the Caribbean.

*Source: World Development Indicators.*

### Reduce child mortality (MDG 4)
- At an aggregate level, none of the regions is on track to achieve the under-five mortality target, though all regions except South Asia and Sub-Saharan Africa have come close.
- Nearly half of all deaths of children under five occur in Sub-Saharan Africa.
- Malnutrition and lack of access to water and sanitation contribute to poor health and death of young children.
- Leading causes of childhood deaths—pneumonia, diarrhea, malaria, and measles—can be prevented through basic health service improvements and interventions such as insecticide-treated mosquito nets and vaccinations.
- Data availability and progress:
  - Data are available for all but 2 countries on the under-five child mortality rate.
  - Only 33 of the 142 countries with available data have achieved or are on track to achieve the 1990–2015 target.
  - None of the 46 Sub-Saharan African countries with available data is on track to reach the target.
  - None of the fragile states has attained the target and only 1 of 34 is on track to reduce by two-thirds the 1990 under-five mortality rate.
- Measles immunization:
  - Assessment based on a target of achieving a 95 percent measles immunization rate by 2015.
  - Twenty-one of 23 Europe and Central Asian countries with available data have already achieved this target.
  - 6 of 8 South Asian countries are either on track or have already achieved the target.
  - About half of the countries in East Asia and the Pacific are not on track; Sub-Saharan Africa and fragile states lag behind.
  - Since 1990, measles vaccination coverage increased in all six regions; South Asia increased from 56 percent in 1990 to 71 percent in 2007.
  - The vaccination rate for Europe and Central Asia was 83 percent in 2007; high-income countries averaged 97 percent in 2007.

- Definition note:
  - The under-five mortality rate is the probability that a newborn will die before reaching age five (expressed as a rate per 1,000).
  - Regional estimates of child mortality are based on data covering 99.9 percent of developing countries’ total population.

### Improve maternal health (MDG 5)
- Among all the MDGs, least progress has been made in improving maternal health; full achievement of MDG 5 targets remains challenging.
- Every year, more than 500,000 women die from complications during pregnancy, childbirth, or in the six weeks after delivery; most live in low-income countries.
- Progress in Sub-Saharan Africa, the region with the highest maternal mortality rate, has been negligible.
- Interventions to reduce maternal deaths:
  - Improve access to and quality of births attended by skilled personnel.
  - Provide prenatal care.
  - Reduce the number of pregnancies (particularly among adolescents).
- Maternal mortality rate definition:
  - Number of women who die from pregnancy-related complications during pregnancy or delivery, per 100,000 live births.
  - Data rely on modeling techniques developed by WHO, UNICEF, and UNFPA.
  - Increased share of attended births contributes to declines in maternal mortality rates.
- Targets:
  - TARGET 5.A Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio.
  - TARGET 5.B Achieve by 2015 universal access to reproductive health.
- Contraceptive prevalence:
  - The contraceptive prevalence rate is the percentage of married women ages 15–49 who use, or whose sexual partners use, any form of contraception.
  - The rate increased for all income groups between 1990 and 2007.
  - The rate was 33 percent for low-income countries in 2007.
- Prenatal care in South Asia:
  - Pregnant women receiving prenatal care at least once increased from 47 to 69 percent from 1990 to 2007.
  - Pregnant women receiving prenatal care at least four times increased from 26 to 34 percent between 1990 and 2007.
- Adolescent fertility:
  - Adolescent fertility rate is births per 1,000 women ages 15–19.
  - From 1997 to 2007 the rate marginally declined in all regions.
  - Latin America and the Caribbean dropped from 102 to 74 (1997 to 2007).
  - Sub-Saharan Africa decreased from 141 to 134 (1997 to 2007).
- Attended births:
  - Births attended by skilled health staff are percentage of deliveries attended by trained personnel.
  - Twenty-one of 23 countries in Europe and Central Asia and 19 of 26 countries in Latin America and the Caribbean have achieved the target to lower the nonattendance rate to 10 percent by 2015.
  - Most South Asian and Sub-Saharan African countries are not on track.

*Source: World Development Indicators.*

### Combat HIV/AIDS, malaria, and other diseases (MDG 6)
- In 2007, around 33 million people globally were living with HIV, and about 2 million people died from the disease, the majority in Sub-Saharan Africa.
- Less than half of individuals in many countries have correct knowledge about HIV transmission and prevention; women from the poorest income quintile are the least knowledgeable.
- TARGETS:
  - TARGET 6.A Have halted by 2015 and begun to reverse the spread of HIV/AIDS.
  - TARGET 6.B Achieve by 2010 universal access to treatment for HIV/AIDS for all those who need it.
  - TARGET 6.C Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases.
- HIV prevalence and deaths:
  - South Africa had the highest number of estimated deaths from AIDS (350,000) and a prevalence rate of 18.1 percent in 2007.
  - Other Sub-Saharan African countries exhibited high death rates and prevalence rates greater than 1 percent.
- HIV/AIDS knowledge in Sub-Saharan Africa (household survey estimates):
  - HIV/AIDS knowledge: ability to describe two ways to prevent infection and to reject three misconceptions concerning HIV.
  - Disparities by household income and gender: women from the poorest quintile have the least knowledge; men and women from the richest quintiles have more knowledge.
  - Cameroon had higher HIV/AIDS knowledge and subsequently lower prevalence and estimated death rates in 2007 compared to Mozambique.
- Tuberculosis (TB):
  - TB cases detected under DOTS increased from 2002 to 2007:
    - East Asia and the Pacific: 40 to 77 percent.
    - South Asia: 29 to 67 percent.
    - Sub-Saharan Africa: 42 to 47 percent (marginal rise).
  - TB treatment success rate fell in Latin America and the Caribbean and Europe and Central Asia, but slightly improved in other regions.
- Malaria and bednet use:
  - Malaria causes over 1 million deaths each year, predominantly in Sub-Saharan Africa, to children under age five.
  - Bednets protect against mosquito vectors and are one of the best prevention strategies.
  - In most countries, children in the richest quintile have greater usage of bednets, but the reverse is true in Colombia, Ghana, Namibia, and Nigeria.

*Sources: World Development Indicators; HNPStats database, World Bank (household surveys).*

### Ensure environmental sustainability (MDG 7)
- Water and sanitation:
  - Based on current trends, the world and a few regions will meet the water access target by 2015.
  - Achieving the improved sanitation access target remains a challenge.
  - South Asia and Sub-Saharan Africa have made the least progress on both targets.
  - All regions but Sub-Saharan Africa and the Middle East and North Africa are on track to achieve the water access target, based on current trends.
  - Prospects are bleaker for the sanitation access target, with only the Middle East and North Africa on track and Sub-Saharan Africa and South Asia lagging far behind.
  - Forty-nine percent of developing countries with available data have achieved or are on track to achieve the improved water target.
  - 23 percent have achieved or are on track to achieve the improved sanitation target.
  - Fourteen of 21 countries with available data in Europe and Central Asia have achieved the water access target.
  - In the Middle East and North Africa, 7 of 13 countries with available data are not on track.
  - No Sub-Saharan African country and almost two-thirds of countries in other regions are not on track for improved sanitation, based on available data.
- Deforestation and forests:
  - Deforestation resulting largely from land use change has been about 13 million hectares a year, and net forest lost has been 7.3 million hectares.
  - Fastest rates of forest lost from 1990 to 2005 were in:
    - Sub-Saharan Africa (7.1 percent).
    - Latin America and the Caribbean (7.0 percent).
    - East Asia and the Pacific (1.6 percent).
  - Other regions had increases in their forest areas.
- Carbon dioxide emissions:
  - Global CO2 emissions gradually increased since 1990 and reached 28 billion metric tons in 2005.
  - The United States, Euro Area, and Japan produce almost 75 percent of the CO2 emissions from all high-income countries.
  - About half of total global CO2 emissions comes from the developing world, particularly China, the Russian Federation, and India.
  - China’s share of global emissions rose from 11 to 20 percent between 1990 and 2005.
- TARGETS:
  - TARGET 7.A Integrate the principles of sustainable development into country policies and programs and reverse the loss of environmental resources.
  - TARGET 7.B Reduce biodiversity loss, achieving by 2010 a significant reduction in the rate of loss.
  - TARGET 7.C Halve by 2015 the proportion of people without sustainable access to safe drinking water and basic sanitation.
  - TARGET 7.D Have achieved a significant improvement by 2020 in the lives of at least 100 million slum dwellers.

*Source: World Development Indicators.*

*Italic: Source PDF chapter content from World Development Indicators as presented in the provided document.*

### 0.28 in 2007 to 0.30 in 2008, but falls below the 0.33

### _gmr - 0.28 in 2007 to 0.30 in 2008, but falls below the 0.33

### Evolution of global aid and ODA-to-GNI ratios
- From 2005 to 2007, the ratio of ODA to gross national income for DAC donors fell from 0.33 to 0.28.
- Ratio must be 0.35 in 2010 to meet the G-8 Gleneagles Summit target to increase annual aid allocations by an additional $50 billion by 2010, compared with 2004.
- Total net ODA from DAC donors increased from 1990 to 2005, but declined since then; aid in 2005 was high because of the one-time debt relief to Nigeria and Iraq.
- Increase required to meet current 2010 targets is illustrated alongside historical Total net ODA (Constant 2004 US$ (billions)) and ODA as % of donors’ GNI (right scale).

### Aid to vulnerable groups: small island states and landlocked developing countries
- The ODA-to-GNI ratio for landlocked developing countries has fluctuated between 5 and 9 from 1990 to 2007 but has not changed much over the period.
- The ratio has decreased for small island states from 1990 to 2007.

### Debt relief, debt service, and sustainability
- The HIPC Initiative reduced burdens of external debt service for 34 post-decision-point highly indebted poor countries.
- Assistance under the MDRI Initiative further reduced the external debt of 23 post-completion-point countries.
- High commodity prices and strong growth in the world economy before the onset of the global financial crisis improved export revenues of many developing countries.
- The debt-service-to-export ratios for all developing country groups shown have declined since 1990, with low-income countries and HIPCs enjoying the largest declines.
- Maintaining long-term debt sustainability will be difficult despite drastic decreases in debt burdens from HIPC and MDRI.

### MDG 8 targets and specific commitments
- TARGET 8.A Develop further an open, rule-based, predictable, nondiscriminatory trading and financial system
- TARGET 8.B Address the special needs of the least developed countries
- TARGET 8.C Address the special needs of landlocked developing countries and small island developing states
- TARGET 8.D Deal comprehensively with the debt problems of developing countries through national and international measures in order to make debt sustainable in the long term
- TARGET 8.E In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries
- TARGET 8.F In cooperation with the private sector, make available the benefits of new technologies, especially information and communications

### Trade policy: tariffs on least developed countries
- The average tariffs imposed by industrial countries on least developed countries’ (LDC) agricultural, textile, and clothing products have fallen from 1996 to 2006.
- Tariffs on agricultural products have decreased only slightly.
- Tariffs on clothing products have been the highest, and the rates of reduction the largest.
- Although these reductions eroded the preferential access some LDCs had previously exclusively enjoyed, the overall reduction of tariffs benefits production and exporting sectors of all LDCs.

### Information and communications technology (ICT) access and trends
- Mobile phone subscriptions have more than doubled in low- and middle-income countries, but large gaps remain for improving access to technologies such as broadband Internet.
- Between 2004 and 2007, mobile phone subscribers increased from 3.7 to 23.1 per 100 people in low-income countries and 22.2 to 46.9 per 100 people in middle-income countries.
- Compared with telephone mainlines, the number of mobile phone subscribers and Internet users has rapidly increased in low- and middle-income countries, although the levels remain much lower than those of high-income countries.
- Substantial infrastructure investments by the private sector will facilitate the growth of information and communications infrastructure and access to mobile phone technology.

### Policy implications and priorities highlighted
- Donors will need to increase programmable aid (which excludes debt relief) in order to meet the 2010 aid target to increase total aid by $50 billion overall and aid to Sub-Saharan Africa by $25 billion a year (in 2004 dollars).
- A global response is required to the global economic crisis: stabilize financial markets of developed countries and take strong and urgent actions to counter the impact of the crisis on developing countries to help them restore strong growth while protecting the poor.
- Mobilize the private sector better in support of development goals, especially in the aftermath of the crisis.

*Source: OECD DAC database; World Development Indicators; Global Monitoring Report 2009 (Global Monitoring Report prepared jointly by the staff of the World Bank and the International Monetary Fund).*

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_Source: https://www.imf.org/-/media/websites/imf/imported-full-text-pdf/external/pubs/ft/gmr/2009/eng/_gmr.pdf_
